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Saint Louis Ophthalmic Society
SOCIETY PROCEEDINGS EDITED BY DR. H. ROMMEL HILDEETH
COLLEGE OF PHYSICIANS SAINT LOUIS OPHTHALMIC SOCIETY OF P H I L A D E L P H I A Section on Ophthalmology November 23, 1934 January, 1934 Dr. E. C. Spitze, president Dr. J. Milton Griscom, chairman Lenticular accommodation Iridescent crystals in the crystalline Dr. Wm. H. Luedde read a paper on lens this subject which will be published in Dr. Alfred Cowan said that this pa this Journal. tient, 86 years of age, had been under Pneumococcus conjunctivitis and ten- observation for the past two years and onitis simulating orbital abscess the condition of the lenses had remained Dr. H. Rommel Hildreth reported the practically unchanged during this time. case of a 68-year-old man who had been In a zonular arrangement in the adult referred to him for orbital drainage. and probably in the infantile nuclei, Excessive lid swelling of the right side, were a great number of highly refrac chemosis, and limitation of bulbar tive, brilliantly colored, tubular crys movements had suggested the diag tals, exactly the same in both eyes. The nosis of orbital abscess or cellulitis, but central portion of each lens was clear. lack of proptosis, disturbance of vision, In addition to these there were some and fundus engorgement made the senile changes, a few subcapsular diagnosis doubtful. Furthermore, the vacuoles, and some small opacities in conjunctival smear from both eyes was the cortices. There were no abnormali loaded with pneumococci; also the fact ties in the fundi except a sclerosis of was brought out that the disease had the retinal arterioles. The vision in each started in the left eye. Close examina eye was 6/15, with correction. By tion then revealed a small degree of retro-illumination and with the oph chemosis on the left side. No operation thalmoscope, it was seen that these was performed. The conjunctivae were bodies were not opaque, but refractile. treated with optochin and in two weeks It was thought that the condition repre the eye was entirely normal. sented a crystalline change that had Discussion. Dr. John Green stated taken place in the opacities of what that this patient certainly had a tenon- formed, at one time, a zonular type of itis and not an orbital cellulitis and nuclear cataract. thought it surprising that tenohitis was Discussion. Dr. W. Zentmayer said not more frequently associated with that with the single exception of corallisevere conjunctivitis considering the form cataract this was the most spec close anatomical relationship of the two tacular lens condition that he had ever membranes. He also said that limita seen. In coralliform cataract the opacity tion of motion is characteristic of ten- was also crystalline but the crystals onitis. were not iridescent. In a case of his own, Dr. R. E. Mason said that Gifford Dr. Verhoeff had confirmed his previ claimed that cases of pinkeye seen in ous study that these crystals were of the Middle Western country are largely protein origin. In a recent paper on due to the pneumococcus and differ ocular crystals Duggar referred to from the pinkeye seen along the Coast. crystals in the lens and pointed out that The latter frequently show many among other conditions they were ob hemorrhages in the bulbar conjunctiva served principally in cataract from thy and considerable chemosis. In his roid insufficiency, myotonia atrophica, opinion optochin is specific in these Mongolian idiocy, trauma, and in hycases. permature cataract. In all of these con J. F. Hardesty, ditions the crystals were usally irides Editor. cent. 1054
COLLEGE OF PHYSICIANS SAINT LOUIS OPHTHALMIC SOCIETY OF P H I L A D E L P H I A Section on Ophthalmology November 23, 1934 January, 1934 Dr. E. C. Spitze, president Dr. J. Milton Griscom, chairman Lenticular accommodation Iridescent crystals in the crystalline Dr. Wm. H. Luedde read a paper on lens this subject which will be published in Dr. Alfred Cowan said that this pa this Journal. tient, 86 years of age, had been under Pneumococcus conjunctivitis and ten- observation for the past two years and onitis simulating orbital abscess the condition of the lenses had remained Dr. H. Rommel Hildreth reported the practically unchanged during this time. case of a 68-year-old man who had been In a zonular arrangement in the adult referred to him for orbital drainage. and probably in the infantile nuclei, Excessive lid swelling of the right side, were a great number of highly refrac chemosis, and limitation of bulbar tive, brilliantly colored, tubular crys movements had suggested the diag tals, exactly the same in both eyes. The nosis of orbital abscess or cellulitis, but central portion of each lens was clear. lack of proptosis, disturbance of vision, In addition to these there were some and fundus engorgement made the senile changes, a few subcapsular diagnosis doubtful. Furthermore, the vacuoles, and some small opacities in conjunctival smear from both eyes was the cortices. There were no abnormali loaded with pneumococci; also the fact ties in the fundi except a sclerosis of was brought out that the disease had the retinal arterioles. The vision in each started in the left eye. Close examina eye was 6/15, with correction. By tion then revealed a small degree of retro-illumination and with the oph chemosis on the left side. No operation thalmoscope, it was seen that these was performed. The conjunctivae were bodies were not opaque, but refractile. treated with optochin and in two weeks It was thought that the condition repre the eye was entirely normal. sented a crystalline change that had Discussion. Dr. John Green stated taken place in the opacities of what that this patient certainly had a tenon- formed, at one time, a zonular type of itis and not an orbital cellulitis and nuclear cataract. thought it surprising that tenohitis was Discussion. Dr. W. Zentmayer said not more frequently associated with that with the single exception of corallisevere conjunctivitis considering the form cataract this was the most spec close anatomical relationship of the two tacular lens condition that he had ever membranes. He also said that limita seen. In coralliform cataract the opacity tion of motion is characteristic of ten- was also crystalline but the crystals onitis. were not iridescent. In a case of his own, Dr. R. E. Mason said that Gifford Dr. Verhoeff had confirmed his previ claimed that cases of pinkeye seen in ous study that these crystals were of the Middle Western country are largely protein origin. In a recent paper on due to the pneumococcus and differ ocular crystals Duggar referred to from the pinkeye seen along the Coast. crystals in the lens and pointed out that The latter frequently show many among other conditions they were ob hemorrhages in the bulbar conjunctiva served principally in cataract from thy and considerable chemosis. In his roid insufficiency, myotonia atrophica, opinion optochin is specific in these Mongolian idiocy, trauma, and in hycases. permature cataract. In all of these con J. F. Hardesty, ditions the crystals were usally irides Editor. cent. 1054