Ophthalmic review - 1897 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: A CASE OF SYMPATHETIC INFLAMMATION OF THE EYE FOLLOWING ENUCLEA- TION FOR SUBCONJUNCTIVAL RUPTURE OF THE SCLEROTIC. By E. Donaldson, Londonderry. I Am indu... more »ced to publish my notes of this case as it presents a somewhat unusual history, and has extended over a long period during which it was carefully watched. On October n, 1891, Mrs. L., aged 33, knocked her right eye violently against the lat.h of a door, and ruptured the sclerotic above the cornea. I saw her four hours after the accident, and found blood in the anterior chamber, tension much reduced, and a swelling of a bluish colour above the cornea. The conjunctiva was not ruptured. Vision was reduced to bare perception of light. For some time afterwards there was no pain in the eye, and there was no external inflammation. October 27, 1891.—She complained of pain in and round the eye. There was still some blood in the anterior chamber; tension was minus; there was some bulging through the wound in the sclerotic. October 31, 1891.—Twenty days after the injury the eye was enucleated. There was no suppuration after the operation. November 26, 1891.—The left eye was quite free from trouble. November 27, 1891.—Sympathetic inflammation set in, '.., twenty-seven days after enucleation and forty-seven days after the injury. A number of spots could be seen Ophth. Review. Vol. XVI., No. 184, February, 1897 on the back of the cornea, the pupil was dilated, and vision dim. There was no manifest constitutional cause that would give rise to trouble in the eye, nor was there any history or sign of rheumatism or of congenital or acquired syphilis ; the patient was in good general health. The diagnosis of sympathetic ophthalmia appeared to me to be irresistible. Atropine was instilled, the room was darkened, and mercu...« less