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Baltimore City Medical Society
SOCIETY PROCEEDINGS
Cyst Occupying the Region of the Lacrimal Sac. DR.
CLARENCE
LOEB
reported
the
case of a man who gave the history that he awoke one morning with a severe inflammation of one eye with swelling, which lasted two days. This swelling was situated over the lacrimal sac and was about the size of a lima bean. It had a resistant feeling such as a sebaceous cyst would give. W a s this a case of sebaceous cyst or one of dacryocystitis? DISCUSSION.
Dr.
Michael
Golden-
burg did not think Dr. Loeb's case was one of sebaceous cyst, but an anomalous development of the anterior ethmoid cells. T h e walls of the ethmoid cells were very thin, at times, and on blowing the nose one could notice swelling. H e had had three such cases in which the anterior ethmoidal cell was involved. If one applied firm pressure over the swelling it would evacuate it. H e saw one case of swelling of the lacrimal sac in which no pus could be expressed. H e irrigated the sac and forced fluid into the nose quite freely. An incision was made in the region of the sac and the sac was found to be normal. In one case he followed the sac along the orbital wall for about one and a half inches and into the ethmoid, made a good big hole, and closed it up anteriorly, compelling it to drain into the nose. BALTIMORE CITY MEDICAL SOCIETY. OPHTHALMOLOGICAL SECTION March 19, 1919. D R . DOWNEY PRESIDING.
Base Hospital Unit. D R . W H T T H A M read a paper on the history of the eye department of the
Johns Hopkins Ease Hospital Unit, from its arrival in France with the first convoy of American troops in June, 1917, until its enlargement into the newly formed opthalmic center in April, 1918, and described the growth and development of the latter institution, with a sketch of its purpose and the scope of its activities from that time until his departure for America on February 1, 1919. Detachment of the Retina in Eclampsia. Dr. Clapp read the paper published in full p. 473. In discussion Drs. Harlan, Randolph and Fleming stated that they had never seen such a condition. Albuminuric Retinitis. Dr. Clapp then exhibited a fundal drawing of a case of acute albuminuric retinitis, which was very atypical. At each macula was a central pearly white mass* surrounded by a yellowish white exudate; the right eye showed more advanced stage than the left; left macula showed some fat globules above surface of retina. Neuroretinitis. Dr. Downey presented' a drawing of a case of acute neuroretinitis, which was found later to be specific. Recovery of Sight After Injury. Dr. Harlan reported a case of a gun-shot injury with the shot remaining in the eye, as shown by x-ray. H e had given an opinion that the eye was lost; but recently had seen the patient and with a correcting glass the individual had a vision of 20/30. C. A. CLAPP, Secretary.
ABSTRACTS
Ramsay, A. Maitland.—Treatment of Prolapse of Iris. (British Journal of Ophthalmology, Nov. 1918, p. 554.) This article presents a very good resume of the usual methods of treating prolapse of the iris, with variations de-
537
pending upon whether the case is one of recent origin or more than fortyeight hours standing, and whether the prolapse is due to a penetrating wound of the cornea or the result of a perforating ulcer of the cornea. In speaking of quite recent prolapses
Cyst Occupying the Region of the Lacrimal Sac. DR.
CLARENCE
LOEB
reported
the
case of a man who gave the history that he awoke one morning with a severe inflammation of one eye with swelling, which lasted two days. This swelling was situated over the lacrimal sac and was about the size of a lima bean. It had a resistant feeling such as a sebaceous cyst would give. W a s this a case of sebaceous cyst or one of dacryocystitis? DISCUSSION.
Dr.
Michael
Golden-
burg did not think Dr. Loeb's case was one of sebaceous cyst, but an anomalous development of the anterior ethmoid cells. T h e walls of the ethmoid cells were very thin, at times, and on blowing the nose one could notice swelling. H e had had three such cases in which the anterior ethmoidal cell was involved. If one applied firm pressure over the swelling it would evacuate it. H e saw one case of swelling of the lacrimal sac in which no pus could be expressed. H e irrigated the sac and forced fluid into the nose quite freely. An incision was made in the region of the sac and the sac was found to be normal. In one case he followed the sac along the orbital wall for about one and a half inches and into the ethmoid, made a good big hole, and closed it up anteriorly, compelling it to drain into the nose. BALTIMORE CITY MEDICAL SOCIETY. OPHTHALMOLOGICAL SECTION March 19, 1919. D R . DOWNEY PRESIDING.
Base Hospital Unit. D R . W H T T H A M read a paper on the history of the eye department of the
Johns Hopkins Ease Hospital Unit, from its arrival in France with the first convoy of American troops in June, 1917, until its enlargement into the newly formed opthalmic center in April, 1918, and described the growth and development of the latter institution, with a sketch of its purpose and the scope of its activities from that time until his departure for America on February 1, 1919. Detachment of the Retina in Eclampsia. Dr. Clapp read the paper published in full p. 473. In discussion Drs. Harlan, Randolph and Fleming stated that they had never seen such a condition. Albuminuric Retinitis. Dr. Clapp then exhibited a fundal drawing of a case of acute albuminuric retinitis, which was very atypical. At each macula was a central pearly white mass* surrounded by a yellowish white exudate; the right eye showed more advanced stage than the left; left macula showed some fat globules above surface of retina. Neuroretinitis. Dr. Downey presented' a drawing of a case of acute neuroretinitis, which was found later to be specific. Recovery of Sight After Injury. Dr. Harlan reported a case of a gun-shot injury with the shot remaining in the eye, as shown by x-ray. H e had given an opinion that the eye was lost; but recently had seen the patient and with a correcting glass the individual had a vision of 20/30. C. A. CLAPP, Secretary.
ABSTRACTS
Ramsay, A. Maitland.—Treatment of Prolapse of Iris. (British Journal of Ophthalmology, Nov. 1918, p. 554.) This article presents a very good resume of the usual methods of treating prolapse of the iris, with variations de-
537
pending upon whether the case is one of recent origin or more than fortyeight hours standing, and whether the prolapse is due to a penetrating wound of the cornea or the result of a perforating ulcer of the cornea. In speaking of quite recent prolapses