White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries.

  • Jeffries, B. Joy (Benjamin Joy), 1833-1915.
Date:
[1873]
Catalogue details

Licence: Public Domain Mark

Credit: White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    INTRA-OCULAR TUMOR. WHITE FUSIFORMED- CELL SARCOMA. ENUCLEATION. By B. Joy Jef- fries, M.D., Boston, Mass. A man, aged 60, came to me April 1st, 1873, complaining of pain over left side of head and in the left eye. Vision was reduced to the perception of light eccentrically. The pupil was dilated with atropine, and with the ophthalmoscope the fundus was blurry, the nerve dimly seen. A tumor was no- ticed on the inner side, in the ciliary region, just reaching into the dilated pupil. It reached backward beyond the middle of the globe, and the retinal vessels were seen running over it. It was thought to be sarcomatous, and enucleation advised and performed under ether, April 3d, 1873. The glooe was at once opened and the tumor found as above. The preparation placed in Muller’s fluid. The man looked in fair health and had been a hard worker. He however complained of some head symptoms, such as “ un- easiness” in head and ear. This last Dr. H. L. Shaw exam- ined and reported “ slight chronic difficulty.” These very slight cerebral symptoms were not thought to militate against good hopes from immediate enucleation. April lltli, 1873, the patient for the first time complained of some pain just in front of left ear, or rather tenderness on pressure. A small gland* here was slightly swollen. The lids had puffed more than usual after enucleation, giving a thought of impending erysipelas. All these symptoms, however, passed oft’ within a few days. June 2Jth, 1873, the specimen was taken from the preserv- ing fluid, and a section made through the centre ot the tumor horizontally, and through iris, lens, and cornea, all in natural