A case of intraocular tuberculosis which closely simulated glicoma of the retina.

  • Theobald, Samuel, 1846-1930.
Date:
[1907]
Catalogue details

Licence: In copyright

Credit: A case of intraocular tuberculosis which closely simulated glicoma of the retina. 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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    found that the elements of the retina are spread wide apart by the growth of tuberculous tissue, and fragments of retina are found scattered here and there in the substance of this tissue, usually, however, on its outer surface. The same thing is true on the other side of the eye, where the tuberculous tissue extends forward to the region of the ciliary muscle. The sclera is interrupted at one point, and the tuberculous tissue is continuous with that on the outer surface, which has the same general characteristics. In the space between the tuberculous mass and chorioid, that is, out- side of the displaced retina, the fluid and blood which fill that space are permeated by delicate strands of newly-formed connective tissue cells. This is true also of the fluid in front of the retina, for from both sides of the retina near its anterior margin there springs a loose granulation tissue, which sends off these fine filaments in the fluid contents of the eye. The cornea and lens are unaffected. The sclera at the posterior surface of the eye shows a few scattered tubercles in its substance. Eepeated search for tubercle bacilli re- vealed none. Many cases are reported in which tuberculous lesions of cornea, sclera, conjunctiva, etc., occurred, and not a few of tuberculosis of the iris. Schultze (Archiv. f. Augenheilh. Bd. 33, s. 145-158) described the chronic tuberculous iritis with exudate into the anterior cham- ber, and thinks it due to infection from the conjunctival sac. Ammann (Zur Iristuberkulose, Klin. Monats. f. Augenheilh., Bd. 35, 1897, s. 135) found in one case a large white tumor in the corpus ciliare bordering on the iris and cornea. Lubowski (Arch. f. Augenheilh., Bd. 35, Heft 1-3, s. 183-191) describes a case in which the retina, iris and ciliary body were tu- berculous and gave symptoms of glaucoma. The retina in its posterior part was thickened to three times the normal. A flat, cauliflower-like mass projected from the papilla of the optic nerve into the vitreous. Microscopically this was a tuberculous mass. This probably began in the iris and later affected the retina by im- plantation from the iris. Lubowski could find only three cases in the literature. Occasionally, but not often, there are glaucomatous symptoms. De Berardini (Tubcrculosi bulbare cronica propagata al nervo ot-