. A treatise on the diseases of the eye. posterior pole of the eye; and which but rarelypass over into any other form of choroiditis. I have also found this form ofchoroiditis more frequently associated with syphilis than any other. Butyet, it must be admitted that the disease may assume most varying appear-ances. Thus I have seen cases of syphilitic choroiditis in which a largebluish-gray exudation has occupied the region of the yellow spot, and aroundthis were scattered to a considerable distance numerous smaller exudationsand atrophic patches, the periphery of the fundus being almost free f


. A treatise on the diseases of the eye. posterior pole of the eye; and which but rarelypass over into any other form of choroiditis. I have also found this form ofchoroiditis more frequently associated with syphilis than any other. Butyet, it must be admitted that the disease may assume most varying appear-ances. Thus I have seen cases of syphilitic choroiditis in which a largebluish-gray exudation has occupied the region of the yellow spot, and aroundthis were scattered to a considerable distance numerous smaller exudationsand atrophic patches, the periphery of the fundus being almost free fromany exudations. These appearances (more especially the gray, nebulouseffusion) at the yellow spot were almost identical in both eyes. [In syphilitic choroiditis there is said to be a peculiar dust-like punctateopacity of the vitreous, which at first is movable, but later the particlesbecome aggregated into masses of irregular shape and sometimes havingthread-like processes. These opacities are sometimes so dense as to com- [Fig. Atrophy after syphilitic choroiditis, showing various degrees of wasting, a. Atrophy ofpigment epithelium, h. Atrophy of epithelium and chorio-capillaris; the large vessels ex-posed, c. Spots of complete atrophy, many with pigment accumulation. (Hutchinson.)—Nettleship.] pletely conceal the fundus, and generally last for a long period. Where theretina can be seen, it is seen to be cloudy along the course of the are no coarse changes in the choroid in this form of inflammation,according to Forster, unless the disease assume the form of simple choroiditisdisseminata. It is usually a late manifestation of syphilis, though it mayaccompany an early iritis, and it often affects only one eye. It is probablethat this is merely one stage of the chorio-retinitis disseminata with markedchanges in the choroid. (See Arch. f. Ophth., xx. 1, p. 33; Graefe undSaemisch, pp. 606 to 6310—B.] 352 DISEASES OF THE CHOROID. The areolar choroiditis o


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