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Nashville Academy of Ophthalmology and Otolaryngology
SOCIETY PROCEEDINGS of one of these exacerbations she was seen also by an internist and was given internal medication. Within twentyfour hours she presented a lesion of the conjunctiva of both eyes which was gray and sloughing in appearance, and injury due to mercuric iodide was at once suspected. A telephone conversa tion sustained the suspicion, as potas sium iodide had been one of the con stituents of the preparation adminis tered internally. Both this and the calo mel were omitted for three days. T h e conjunctiva healed and later calomel alone was administered, without further incident. R. O. RYCHENER,
Secretary.
N A S H V I L L E ACADEMY O F OPHTHALMOLOGY A N D OTOLARYNGOLOGY June 17, 1929 DR. HERSCHEL EZELL presiding
Dionin in a case of acute iritis DR. W. W. WILKERSON, J R . , had been called to see Mrs. J. W . A., white fe male aged forty-five years, found her complaining of pain in the right eye, and on examination diagnosed the con dition as acute iritis. There was noth ing of any importance in the history of the case. T h e patient was referred to and examined b y various men in the hope of ascertaining the focus of in fection causing this condition, but none was found. The pupil of the right eye was di lated with one percent solution of atropin sulphate. Iris pigment was then found on the capsule of the lens. T h e tension with a Schip'tz' tonometer was 18 mm. After using atropin for three days the patient began to complain of severe pain in the right eye, and the tension was found to be 45 mm. H e discontinued the atropin and two days later the tension again was 18 mm. Once more he dilated the pupil with atropin and again the tension went to 45 mm. A consultant was called in and suggested continuing the use of atroPin and also using an eight percent solution "of dionin, two drops in the
907
affected eye three times a day. Twentyfour hours after the dionin was begun the tension dropped to 18 mm. and it did not increase afterward. T h e pa tient had received other ordinary treat ment for iritis such as hot compresses, salicylates, iodides, etc. Discussion,
D R . GUY MANESS
had
been using eight percent dionin as a routine in such cases. I t seemed to work well. DR. FRED HASTY said there was danger of getting conjunctivitis from the eight percent solution. DR. HERSCHEL EZELL asked if a weak er solution would not do. DR. W . W . WILKERSON said he had tried it and found that it would not. He had been using a two percent solution and it did not work, but the eight percent gave prompt relief. DR. M. M. CULLOM asked if there was much edema following the dionin. DR. W. W. WILKERSON replied that there was none. W . W . WILKERSON,
Secretary.
SAINT LOUIS OPHTHALMIC SOCIETY April 26,1929 DR. WILLIAM H . LTJEDDE, president
Dendritic keratitis DR. M. H. POST gave a short history of the early ideas with regard to dendritic keratitis, showing t h e stress p u t upon its association with malaria. Follow ing that, the more recent experimental work was reviewed, proving its relation to herpes and its similarity to lethargic encephalitis. T h e therapeutics of the condition were next discussed, show ing the wide variety of drugs that have been recommended for these lesions. Finally, the use of ultraviolet light therapy was considered at some length. The conclusion was reached that defi nite benefit was possible, either with the mercury vapor lamp, or by longer exposures to the carbon arc. Five cases were reported, one case recover ing rapidly with no treatment other than atropin and ultraviolet light.
Secretary.
N A S H V I L L E ACADEMY O F OPHTHALMOLOGY A N D OTOLARYNGOLOGY June 17, 1929 DR. HERSCHEL EZELL presiding
Dionin in a case of acute iritis DR. W. W. WILKERSON, J R . , had been called to see Mrs. J. W . A., white fe male aged forty-five years, found her complaining of pain in the right eye, and on examination diagnosed the con dition as acute iritis. There was noth ing of any importance in the history of the case. T h e patient was referred to and examined b y various men in the hope of ascertaining the focus of in fection causing this condition, but none was found. The pupil of the right eye was di lated with one percent solution of atropin sulphate. Iris pigment was then found on the capsule of the lens. T h e tension with a Schip'tz' tonometer was 18 mm. After using atropin for three days the patient began to complain of severe pain in the right eye, and the tension was found to be 45 mm. H e discontinued the atropin and two days later the tension again was 18 mm. Once more he dilated the pupil with atropin and again the tension went to 45 mm. A consultant was called in and suggested continuing the use of atroPin and also using an eight percent solution "of dionin, two drops in the
907
affected eye three times a day. Twentyfour hours after the dionin was begun the tension dropped to 18 mm. and it did not increase afterward. T h e pa tient had received other ordinary treat ment for iritis such as hot compresses, salicylates, iodides, etc. Discussion,
D R . GUY MANESS
had
been using eight percent dionin as a routine in such cases. I t seemed to work well. DR. FRED HASTY said there was danger of getting conjunctivitis from the eight percent solution. DR. HERSCHEL EZELL asked if a weak er solution would not do. DR. W . W . WILKERSON said he had tried it and found that it would not. He had been using a two percent solution and it did not work, but the eight percent gave prompt relief. DR. M. M. CULLOM asked if there was much edema following the dionin. DR. W. W. WILKERSON replied that there was none. W . W . WILKERSON,
Secretary.
SAINT LOUIS OPHTHALMIC SOCIETY April 26,1929 DR. WILLIAM H . LTJEDDE, president
Dendritic keratitis DR. M. H. POST gave a short history of the early ideas with regard to dendritic keratitis, showing t h e stress p u t upon its association with malaria. Follow ing that, the more recent experimental work was reviewed, proving its relation to herpes and its similarity to lethargic encephalitis. T h e therapeutics of the condition were next discussed, show ing the wide variety of drugs that have been recommended for these lesions. Finally, the use of ultraviolet light therapy was considered at some length. The conclusion was reached that defi nite benefit was possible, either with the mercury vapor lamp, or by longer exposures to the carbon arc. Five cases were reported, one case recover ing rapidly with no treatment other than atropin and ultraviolet light.