- Email: [email protected]
Nashville Academy of Ophthalmology and Otolaryngology
818
SOCIETY
PROCEEDINGS
O.T. was begun, she had vision of about 20/100. There remained a rather exten sive corneal scar which would probably not clear very much more. While there was no evidence other than a therapeutic result that the kera titis was tuberculous, the deduction seemed justifiable. Whether the con dition was due to a local infection or was merely an allergic focal reaction was questionable, but the latter was l)robably the case. The speaker had had a fairly large series of cases of phlyctenular kerato conjunctivitis which when seen early were cured by desensitization with O.T.. with little resultant corneal damage. The cases that were of long standing and had a marked corneal in volvement practically always were markedly improved but not completely relieved of the corneal opacity. He had a smaller series of corneal ulcers of long standing that had resisted the usual forms of treatment, including re moval of foci, but which as soon as treatment with O.T. was started showed fairly rai)id improvement. If tuberculin had been started early in the case reported, he thought the eye would have been in far better condition at l>rescnt. Discussion. DR. W. G. K E N N O N remarked that with the foci of infection removed tuberculin would clear up many persistent eye cases. DR. M . M . C U L L O M thought that about seven percent of interstital kera titis was believed to be tuberculous. .\U of his cases had been due to hereditarv svphilis. W.
W.
WILKERSON,
Secretary. NASHVILLE ACADEMY OF OPHTHALMOLOGY AND OTOLARYNGOLOGY April 21, 1930 DR. R O B E R T W A R N E R , chairman Bilateral enucleation of ruptured buphthalmic eyes DR. R O B E R T J. W A R N E R reported the case of A. M . , white male, aged seven years. He was born with large eyes
which had been diagnosed in early in fancy as buphthalmos. All other physi cal examinations were negative. He had a vision of counting fingers at about twelve feet in each eye. November 13. 1'>2*Λ while riding on a small wagon he ran into a telephone pole and the tongue of his wagon struck him in his right eye causing a rui)ture of the eyeball. The right eye was enucleated the same day under ether anesthesia. There were no complica tions at operation or postoperatively. On April 0, 1930. while in the garden with his father he was struck in his left eye with the end of a hoe handle, which caused a rupture of the left globe. The rupture was about one-half inch in length extending across the ciliary body. Severe hemorrhage followed. Calcium lactate was administered and the protruding iris was excised. There was no light i)erception. The eye was very .soft and painful. On .Ai)ril 13, V)30. Dr. Kennon, who was called into consultation, agreed that the eye should be removed. On April 14th the left eye was removed under ether anesthesia. No complications followed. W.
W.
WILKERSON-
Secretarv. LOS ANGELES COUNTY MEDICAL ASSOCIATION Eye and Ear Section April 7. 1930 .Λ. R A V I R V I N E , president (This meeting was a clinical one pre sented at the Los Angeles General Hos pital by the staff of that hospital.) Retinitis proliferans D R . J O H N O S B O R N E presented a thirtyyear-old man who gave a history of long standing blindness in the right eye and recent diminution of vision in the left eye. Upon examination the right eye showed decreased tensi(m. begin ning complicated cataract, and an or ganized mass in the vitreous, contain ing many Cholesterin crystals. The left eye showed a typical picture of well advanced retinitis proliferans with evi-
SOCIETY
PROCEEDINGS
O.T. was begun, she had vision of about 20/100. There remained a rather exten sive corneal scar which would probably not clear very much more. While there was no evidence other than a therapeutic result that the kera titis was tuberculous, the deduction seemed justifiable. Whether the con dition was due to a local infection or was merely an allergic focal reaction was questionable, but the latter was l)robably the case. The speaker had had a fairly large series of cases of phlyctenular kerato conjunctivitis which when seen early were cured by desensitization with O.T.. with little resultant corneal damage. The cases that were of long standing and had a marked corneal in volvement practically always were markedly improved but not completely relieved of the corneal opacity. He had a smaller series of corneal ulcers of long standing that had resisted the usual forms of treatment, including re moval of foci, but which as soon as treatment with O.T. was started showed fairly rai)id improvement. If tuberculin had been started early in the case reported, he thought the eye would have been in far better condition at l>rescnt. Discussion. DR. W. G. K E N N O N remarked that with the foci of infection removed tuberculin would clear up many persistent eye cases. DR. M . M . C U L L O M thought that about seven percent of interstital kera titis was believed to be tuberculous. .\U of his cases had been due to hereditarv svphilis. W.
W.
WILKERSON,
Secretary. NASHVILLE ACADEMY OF OPHTHALMOLOGY AND OTOLARYNGOLOGY April 21, 1930 DR. R O B E R T W A R N E R , chairman Bilateral enucleation of ruptured buphthalmic eyes DR. R O B E R T J. W A R N E R reported the case of A. M . , white male, aged seven years. He was born with large eyes
which had been diagnosed in early in fancy as buphthalmos. All other physi cal examinations were negative. He had a vision of counting fingers at about twelve feet in each eye. November 13. 1'>2*Λ while riding on a small wagon he ran into a telephone pole and the tongue of his wagon struck him in his right eye causing a rui)ture of the eyeball. The right eye was enucleated the same day under ether anesthesia. There were no complica tions at operation or postoperatively. On April 0, 1930. while in the garden with his father he was struck in his left eye with the end of a hoe handle, which caused a rupture of the left globe. The rupture was about one-half inch in length extending across the ciliary body. Severe hemorrhage followed. Calcium lactate was administered and the protruding iris was excised. There was no light i)erception. The eye was very .soft and painful. On .Ai)ril 13, V)30. Dr. Kennon, who was called into consultation, agreed that the eye should be removed. On April 14th the left eye was removed under ether anesthesia. No complications followed. W.
W.
WILKERSON-
Secretarv. LOS ANGELES COUNTY MEDICAL ASSOCIATION Eye and Ear Section April 7. 1930 .Λ. R A V I R V I N E , president (This meeting was a clinical one pre sented at the Los Angeles General Hos pital by the staff of that hospital.) Retinitis proliferans D R . J O H N O S B O R N E presented a thirtyyear-old man who gave a history of long standing blindness in the right eye and recent diminution of vision in the left eye. Upon examination the right eye showed decreased tensi(m. begin ning complicated cataract, and an or ganized mass in the vitreous, contain ing many Cholesterin crystals. The left eye showed a typical picture of well advanced retinitis proliferans with evi-