Pseudo-glioma / by E. Treacher Collins.

  • Collins, E. Treacher (Edward Treacher), 1862-1937.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: Pseudo-glioma / by E. Treacher Collins. 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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    Case 8 (Register No. 21G2).—Semi-organised fibrous tissue formation in vitreous and circumlental space. Retraction of root of iris and detachment of retina. History of fit a few days previous to eye affection. William C, aged 7 months, was admitted to the Moorfields Hospital on September 30, 1886. His mother stated that six or seven weeks ago he had had a fit, and for two or three days after took little notice of anything; since then he had been losing flesh. She first noticed something the matter with his right eye a few days after the fit; it was then blood-shot. It had only begun to get small last week. There had been no injury to the eye. There was no history of consumption in the family. She had two other children, both healthy. On examination, the tension of the right eye was found to be minus, the pupil small and slightly eccentric, and not quite clear. The iris, was almost in contact with cornea at its pupil- lary margin, but somewhat retracted at its periphery, leaving there a shallow anterior chamber. No fundus reflex could be obtained. The eye was excised the same day. Pathological Examination.—The iris is very intimately adherent to the lens capsule; it is retracted at its periphery, and then, bending sharply, follows the anterior surface of the lens. There is a projecting knob from the posterior pole of the lens into the shrunken vitreous. The retina is detached and folded into a fairly firm mass; it appears to be adherent to the posterior surface of the lens. It retains, by means of a narrow cord, its attachment to the optic disc. The sub-retinal space is filled by a material of a spongy consistence. The choroid is deeply pigmented and drawn inwards to a slight extent at the anterior part. Microscopical Appearances.—An organised inflammatory membrane stretches across the pupil. There is adhesion of the pupillary border of the iris to the lens capsule on one side of the sections. The inflammatory membrane extends through- out between the posterior surface of the iris and the lens ; it is merged at the root of the former with a mass of semi-organised fibrous tissue situated in the circumlental space. This is con- tinuous again with structure of a similar character, in some places more highly developed than others, and with newly-