A case of subluxation of the lens, with double rupture of the choroid : recovery with good vision / by B. A. Randall.

  • Randall, Burton Alexander, 1858-1932.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: A case of subluxation of the lens, with double rupture of the choroid : recovery with good vision / by B. A. Randall. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    DOUBLE RUPTURE OF THE CHOROID. RECOVERY, WITH GOOD VISION. John C , aged twelve, presented himself at my clinic at the Children's Hospital, May 17, 1885, his left eye having been injured by a blow from a heavy chip of wood some hours previously. The lids were somewhat contused and oedematous, and there was a laceration of the outer canthus extending the palpebral fissure outward 5 or 6 mm., its edges in good approximation. A cut of the left side of the nose near the bridge indicated by its direction the line of flight of the chip, and that its impact upon the eye was a glancing one—passing obliquely up and outward. The conjunctiva was much con- gested and the cornea superficially hazy, with circumcorneal injection. The anterior chamber contained blood at its lower part, and the aqueous seemed blood-stained. The iris appeared greenish (that of the other eye being grey, and the boy quite blond), the pupil was irregular, large medium, immobile, and widest outward; and the outer portion of the iris seemed pressed forward. No tremulousness of the iris was at this time noted, although this was soon a.fter distinct, especially in the inner portion. T. apparently normal. Atropine had been instilled by the house-surgeon earlier in the day, without, how- ever, changing the condition of the pupil. Vision was reduced to quantitative perception of light, and there seemed to be imperfect projection. No details of the fundus were visible, but there was an unduly whitish reflex from the temporal eye- ground suggestive of retinal detachment. The lens appeared to be in nearly normal position—its margins nowhere visible and its substance showing no opacities. There was little pain