Transactions . g and HNOg. The hypogastrium is occupiedby a tumour, ovoid, mesial, the size of a six months* preg-nancy ; it is hard, dull, dumb ; doubtless a uterine is a systolic, basic, cardiac murmur. Six months ago the sight of the left eye began to fail,she thinks suddenly; no traumatism remembered. Onexamination with the perimeter it is found that it iscentral vision that is lost absolutely, peripheral percep-tion being present but deficient. The media are clear ;T. n. Occupying the site of the fovea and an area of CENTRAL EETINAL DETACHMENT. 129 twice its dimension around
Transactions . g and HNOg. The hypogastrium is occupiedby a tumour, ovoid, mesial, the size of a six months* preg-nancy ; it is hard, dull, dumb ; doubtless a uterine is a systolic, basic, cardiac murmur. Six months ago the sight of the left eye began to fail,she thinks suddenly; no traumatism remembered. Onexamination with the perimeter it is found that it iscentral vision that is lost absolutely, peripheral percep-tion being present but deficient. The media are clear ;T. n. Occupying the site of the fovea and an area of CENTRAL EETINAL DETACHMENT. 129 twice its dimension around it, is a retinal detachment pre-senting the usual blue grey rucked appearance, with darkred tortuous vessels riding over the rugae. This areashades off peripherally in parts to normal retina, but aboveon the temporal side to a patch presenting the dead-whitestreaks and dots indicative of albuminuric retinitis. O. , but no neuritis. The R. eye V. ^, and 1 J. c + 3 D.;media clear ; fundus perfectly The field of V. was taken with a small candle-ilame. This case is peculiar and interesting ; peculiar in thefact of its strict unilaterality, and in exhibiting possiblya transitional form between that degenerative retinalchange with which we are familiar in chronic Brightsdisease, and that larger lesion of retinal dislocation fromsubretinal dropsy which we associate with the graver andmore acute forms of renal disease ; it is interesting asraising the question of the prognosis of renal diseasebased upon retinal changes in their different forms. VOL. VIII. 9 130 DISEASES OP THE RETINA. (August 22nd, 1888). — Patient seen any change in left fundus, no disease in much the same ; still anasarca of extremities andalbuminuria. {October 20th, 1887.) Mr. J. Hutchinson, jun., remarked that in Mr. Mileysstatistics (alluded to by Dr. Anderson), which showedsuch an unfavourable prognosis in cases of albuminuricretinitis, he believed that those oc
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Keywords: ., bookcentury1800, bookdecade1880, bookpu, booksubjectophthalmology
