A treatise on the diseases of the eye . appro-priate treatment is not adopted at this critical periodof the disease, other much more important pheno-mena present themselves, if it be a case of pure genuine syphilitic iritis. On the pupillary, or on the ciliary margin of theiris, or on both, there are formed reddish-brown, knotty elevations, whichbecome larger and larger, and appear on close examination with a glass,very similar in structure to those condylomata, which are called It has been represented by Beer and others, that the pupil seems drawnupwards and inwards, or towards
A treatise on the diseases of the eye . appro-priate treatment is not adopted at this critical periodof the disease, other much more important pheno-mena present themselves, if it be a case of pure genuine syphilitic iritis. On the pupillary, or on the ciliary margin of theiris, or on both, there are formed reddish-brown, knotty elevations, whichbecome larger and larger, and appear on close examination with a glass,very similar in structure to those condylomata, which are called It has been represented by Beer and others, that the pupil seems drawnupwards and inwards, or towards the root of the nose ; it is displaced inthis direction sometimes, but not constantly. Its form and situation dependon the effusions of lymph. * Letter to Mr. Briggs in his translation of Scarpas Treatise, p. 164—IG6, note.•J- The cases related in my Treatise on Venereal Diseases of the Eye, illustrate thevarious points referred to in this paragraph. t Lehre, vol. i. p. 558. The appearances are well represented in tab. 2, fig. 410 ARTHRITIC IRITIS. The pain is chiefly nocturnal: the patient may have hardly any uneasi-ness during the day, even although the attack be acute, and the external red-ness considerable; but, as evening comes on, or soon after bed-time, thepain, which is usually seated in the brow, begins, and arrives at such a pitchas to prevent rest, going oft again completely towards morning. Wherepain exists constantly, there is a marked exacerbation at night. I have not seen the appearances described by Beer in the followingsentence : Lardaceous (speckige) ulcers frequently appear at the same timeboth on the cornea and on the white of the eye; while gummata, or truetophi, which quickly pass into the state of ulceration, form on the edge ofthe orbit, particularly in the neighborhood of the frontal sinus and at theroot of the nose. Lehre, vol. i. § 580. Diagnosis.—The tubercular depositions of lymph, the reddish browndiscoloration of the iris on its inner
Size: 1584px × 1576px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., boo, bookcentury1800, bookdecade1840, booksubjecteye, bookyear1847
