The toxic amblyopias: their classification, history, symptoms, pathology, and treatment.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: The toxic amblyopias: their classification, history, symptoms, pathology, and treatment. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    (in which this is exceptional), or even in the mixed varie- ties, and atrophy of the nerve may be the final result, even when treatment has been actively carried on. As an illustration of progressive scotomatous atrophy of the optic nerve, in which the abuse of alcohol and to- bacco, but more decidedly the former agent, was the only etiological factor discoverable, the following case, together with the charts of vision, is appended : Albert F., American by birth, came for treatment, August 8, 1891. In January of that year his vision began to fail, and in three weeks he was unable to read or write. He began vigorous treatment, January 26, under the best advice, and continued it without seri- ous interruption (except one lapse as to smoking) until March, 1892 He had always enjoyed good health. He had smoked and chewed tobacco for a number of years, and used whisky inordinately for six years previous to his attack of amblyopia. His physical examination revealed the following condi- tions : A spare, but well-formed man; digestive appar- atus in good condition; abdominal viscera normal; pul- monary organs sound; pulse 112; first sound of the heart murmurish, but no hypertrophy ; the urine con- tains neither albumin, casts, nor sugar; the knee-jerk is even and normal in impulse; the reinforcement is prompt. The vision of the right eye equals counting fingers in the upper field; with the left eye he sees movements of the hand. Right eye. An irregular disk, cpiite atrophic; small arteries; central lymph sheaths full and veins larger than normal; a faint haze covers the papilla, the nasal half of which is less pronouncedly discolored than the infero- temporal quadrant.