Transactions . adelicate band of ciliary injection, but pupil widely dilated arid nosynechias. The lens and the vitreous were clear, and the ophthal-moscope revealed the following conditions: The optic disc was nearly round, and had a small central ex-cavation. The veins were swollen, uneven and thickly coatedwith white tissue (periphlebitis). Between the branches of theupper and lower temporal veins and the upper nasal vein were ex-tensive sheet-like hemorrhages and some areas of white arteries in comparison with the veins were small, and werealso lined with white tissue indicatin


Transactions . adelicate band of ciliary injection, but pupil widely dilated arid nosynechias. The lens and the vitreous were clear, and the ophthal-moscope revealed the following conditions: The optic disc was nearly round, and had a small central ex-cavation. The veins were swollen, uneven and thickly coatedwith white tissue (periphlebitis). Between the branches of theupper and lower temporal veins and the upper nasal vein were ex-tensive sheet-like hemorrhages and some areas of white arteries in comparison with the veins were small, and werealso lined with white tissue indicating infiltration of their walls.(Plate I.) Examination of the left eye showed a precisely similar al-though less marked condition of aftairs — widespread disease ofthe vessels, with hemorrhages and exudates along their distribu-tion. The patient was referred to the ^ledical Dispensary for gen-eral examination, and the following report obtained: Noth-ing has developed in the physical examination of George Murray. Ii;;. 1. Extensive retinal vessel disease; periarteritis and peri-plilebitis. Right eye. De Schweixitz : Vasculitis and Perivasculitis. 273 to account for his ocular conditions. Urine examination revealedno indications of kidney disease. The patient was admitted to the wards of the University Hos-pital and thoroughly examined, without finding any constitutionaldisease. Urine and blood examinations, frequently repeated,yielded entirely nomial findings. The blood pressuie was the slightest improvement took place after a thorough mer-curial and iodid course; indeed, the patient was most susceptibleto the influence of mercury and was quickly salivated, and at theexpiration of two weeks the hemorrhages had greatly increased,so that vision of O. D. was reduced to hand movements and ofO. S. to 6/150; also a fine punctate haze developed throughoutthe right vitreous. Marked cyclitis of the right eye was evident, withsoft synechiie readily broken loose with a


Size: 1839px × 1359px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye