Transactions . homatropine mostthoroughly. With regard to the right eye, I can say positivelythat in the region around the hole, the surface of the retina wasmost distinctly seen with a -f 2 D glass, while the floor of thehole was like the disc, best seen without any glass. The retinawas therefore either thickened in this region 2/3 mm. or elsewas pushed forward by a plastic exudate behind it to that were no folds in the retina and no other signs of detach-ment. The two light-colored spots seen below the hole did notimpress me as being opacities in the retina itself, but rather as
Transactions . homatropine mostthoroughly. With regard to the right eye, I can say positivelythat in the region around the hole, the surface of the retina wasmost distinctly seen with a -f 2 D glass, while the floor of thehole was like the disc, best seen without any glass. The retinawas therefore either thickened in this region 2/3 mm. or elsewas pushed forward by a plastic exudate behind it to that were no folds in the retina and no other signs of detach-ment. The two light-colored spots seen below the hole did notimpress me as being opacities in the retina itself, but rather ascircumscribed exudates under the retina, or as perhaps spots ofatrophy in the choroid similar to the large patch of choroidalatrophy in the left eye. In the left eye there were seen slight evidences of a formicrchoroiditis around the disc. The bright deep red area situatedabove the patch of atrophy of the choroid, seemed to me almostidentical in color with the color of the floor of the hole in the cr rt- w n W. o ?a O Kipp: Macular Holes. 525 right eye. I assume that here the retina was thinner, moretransparent than in other parts, so that the pigment epithehum wasvisible here. In the hght-colored area below this, not only thepigment of the retinal epithelium, but also the stroma pigmentof the choroid, had disappeared. There were no collections ofpigment to be seen anywhere around the atrophic region, nor,indeed, anywhere in the ophthalmoscopic field, except just belowthe lower margin of the disc. That the deep red area was notan extravasation of blood is quite certain, as it did not change inappearance in the least during the period the eye has been underobser^^ation, and moreover it did not have the uniform red colorof a blood extravasation. The retina over both the deep red andthe light-colored areas was perfectly transparent, and the retinalvessels could be distinctly seen in it. We have therefore two very dissimilar pictures of the eye-grounds of this patient. In the right
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
