Transactions . years,has two children, a son eighteen years old and a daughterfifteen, both of whose eyes are good. Her general healthis excellent. From another source I learned that she wasfor a while addicted to the use of morphin, and when this wasovercome, to alcohol for a time. Examination shows vision 164 Bruner: Optic Atrophy with x-Ray Findings. of -gV, 6^. She is unable to read 2 M. examination shows in media clear,disc round and slight physiologic cup, whole disc decidedlypale, but especially the temporal half, slight scleral ring,arteries narrow,
Transactions . years,has two children, a son eighteen years old and a daughterfifteen, both of whose eyes are good. Her general healthis excellent. From another source I learned that she wasfor a while addicted to the use of morphin, and when this wasovercome, to alcohol for a time. Examination shows vision 164 Bruner: Optic Atrophy with x-Ray Findings. of -gV, 6^. She is unable to read 2 M. examination shows in media clear,disc round and slight physiologic cup, whole disc decidedlypale, but especially the temporal half, slight scleral ring,arteries narrow, fundus somewhat granular, otherwisenothing pathologic. 0. S. shows similar appearance ofoptic atrophy with gray nerve more marked in the temporalhalf and contracted arteries. The fields show small centralabsolute scotoma in each eye, with practically normalperipheral limits (see Chart I). The nephew, now a doctor of Chicago, writes me that hiseye trouble started in May, 1903, shortly after his marriage, c! Chart I. when he was twenty-two years of age. He first noticed dimvision which gradually increased so that by fall of the sameyear he was entirely blind. He says he had a centralscotoma. There was no specific history and none of theoculists whom he consulted could find any cause for theprogressive optic atrophy, so diagnosed by them all, exceptpossibh^ heredity. He took mercury and potassium iodid,also thyroid extract, pituitary extract, strychnin, etc. Aftermore than a year he thinks he began to improve underhomeopathic treatment, and he now has had one-fifth normalvision for several years. Vision is now as from the startworse in his right eye. Examination of our patient shows pupils equal and re- Bruner: Optic Atrophy ivith x-Ray Findings. 165 sponsive to light and all movements of the eyes equals fingers eccentrically in each eye. Ophthalmoscopic examination shows the discs slightlyedematous on the nasal side, with all edges hazy, especiallythe inner, p
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
