Transactions . lateral rotation of the eyes, rotary nystagmoid move-ments developed near the outer liinits of rotation. Thepupils were equal and reacted to light. Each disc showeda well-marked postpapillitic atrophy with perivascular linesalong some of the retinal vessels. While seen at odd intervals, no opportunities were Hollo way: Cranial Deformity With Ocular Changes. 695 afforded, for thorough study until recently, when she con-sented to enter the University Hospital in the service ofDoctors Stengel and Austin. The eyes presented much thesame appearance as above described, al
Transactions . lateral rotation of the eyes, rotary nystagmoid move-ments developed near the outer liinits of rotation. Thepupils were equal and reacted to light. Each disc showeda well-marked postpapillitic atrophy with perivascular linesalong some of the retinal vessels. While seen at odd intervals, no opportunities were Hollo way: Cranial Deformity With Ocular Changes. 695 afforded, for thorough study until recently, when she con-sented to enter the University Hospital in the service ofDoctors Stengel and Austin. The eyes presented much thesame appearance as above described, although the vision,as previously noted, was not so good as when first 0. D., -£^; 0. S., 2-\. The proptosis as measured withHertels exophthalmometer gave 16 mm. for the right eyeand 17 mm. for the left. The fields are shown on the accom-panying charts (Figs. 1, 2 and 3). Examination of themouth and throat showed a moderate gingivitis and pyorrheawith slight enlargement of the tonsils. The thyroid was not. Fig. 1.—Case II. Visual Fields, July 2, 1907. enlarged. The patient was chicken-breasted, and thereexisted a slight lateral curvature of the spine in the upperthoracic region. There were no pulmonary lesions. Exam-ination of the heart revealed a soft systolic murmur overthe mitral and aortic areas, with accentuation of the secondsound of the pulmonic area. The systolic blood-pressurewas 123, the diastolic 85. The knee-jerks were slightlydiminished, no ankle clonus or Babinski sign; but with theeyes closed there was a marked sway and tendency to examinations of the urine have shown a trace ofalbumin but no sugar; on one occasion hyaline casts; con-siderable mucus and a few blood-cells. A blood examinationgave 68 per cent, hemoglobin; 4,310,000 red cells and 6700 696 Hollo way: Cranial Deformity With Ocular Changes. white cells. Examination of the feces was negative forblood; gave faint bile reaction; no ova or parasites; manymeat and vegetable fibers. Fluo
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
