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Nashville Academy of Ophthalmology and Otolaryngology
359
SOCIETY PROCEEDINGS blue light, but with test letters and sta tionary radiating lines instead of the re volving disc. In the use of red and blue, the patient was seated five feet from the apparatus, which distance was an advantage for a small office. The diffu sion circles of these colors on the retina were of the same size at that distance, and that point had been called the para doxical point, it being the place where the patient saw both colors equally dis tinct. In reality it was the place where both colors were equally blurred, hence the name. ROBERT VON DER HEYDT,
Secretary.
NASHVILLE ACADEMY OF OPHTHALMOLOGY A N D OTOLARYNGOLOGY November 16, 1931 DR. HILLIARD WOOD, chairman
Cystoid cicatrix Dr. W. G. Kennon reported a case of cystoid cicatrix of the sclerocorneal wound following cataract extraction. There had been backward dislocation of the lens at operation necessitating re moval with the loop. There had also been considerable loss of vitreous. A large iris prolapse had occurred at the outer angle of the corneal incision. Two months after operation an ir regular lobulated thin walled cyst was present. Treatment by pressure band age was of no avail. After consultation with Dr. Hilliard Wood the idea of sur gical procedure was abandoned. One-half saturated solution of alum was applied over the cicatrix at inter vals during one month in which time definite improvement was observed. The cyst became flattened and its walls thickened. Vision was 20/100 with glasses. Bilateral optic neuritis D R HILLIARD W O O D reported the fol lowing case of bilateral optic neuritis and presented the patient. J. D., white, male, aged twelve years, was seen Oc tober 28, 1931, at which time he gave the history of having irregular fever for the past week with gradual impair
ment of vision in each eye. There had been no pain. Quinine in small doses, had been given for a few days, approxi mately 30 grs. in all. Examination showed: O.D. Vision, 8/200, not improved with lenses. O.S. Vision, 20/15. Pupils were normal in size and appearance. Right eye: Very severe neuroretinitis, principally optic neuritis. There ap peared some infiltration in the macular region that might explain the low vi sion of this eye. The disc was swollen two to three diopters. There was no hemorrhage, but there was marked in flammatory edema in and around the disc. Left eye: A condition similar to that in the right, but not so severe, was found. The macular region was not in volved. The nose, antra and frontal sinuses appeared normal. There was no history of tonsillitis, but the tonsils were sep tic. The urinalysis was negative. A diagnosis of bilateral neuroretinitis of unknown etiology was made and a general physical examination advised. A complete physical examination was done at Vanderbilt University Hospi tal where it was thought that the neuroretinitis was probably caused by quinine. A week later the vision in the right eye had improved to 20/65. The patient was placed on bichloride of mercury and iodide of potash for their sorbefacient action. After the second week the vision of the right eye had improved to 20/50 and that in left eye had remained 20/15. There had been noticeable im provement in the optic neuritis in the right eye while that in the left eye showed little improvement. Discussion. I t was the opinion of the members present that, rather than qui nine, the cause of the optic neuritis was to be found in the cause of the febrile condition. They advised that if x-ray of the paranasal sinuses was negative the patient's tonsils and adenoids should be removed. H. C. SMITH,
Secretary-Treasurer.
SOCIETY PROCEEDINGS blue light, but with test letters and sta tionary radiating lines instead of the re volving disc. In the use of red and blue, the patient was seated five feet from the apparatus, which distance was an advantage for a small office. The diffu sion circles of these colors on the retina were of the same size at that distance, and that point had been called the para doxical point, it being the place where the patient saw both colors equally dis tinct. In reality it was the place where both colors were equally blurred, hence the name. ROBERT VON DER HEYDT,
Secretary.
NASHVILLE ACADEMY OF OPHTHALMOLOGY A N D OTOLARYNGOLOGY November 16, 1931 DR. HILLIARD WOOD, chairman
Cystoid cicatrix Dr. W. G. Kennon reported a case of cystoid cicatrix of the sclerocorneal wound following cataract extraction. There had been backward dislocation of the lens at operation necessitating re moval with the loop. There had also been considerable loss of vitreous. A large iris prolapse had occurred at the outer angle of the corneal incision. Two months after operation an ir regular lobulated thin walled cyst was present. Treatment by pressure band age was of no avail. After consultation with Dr. Hilliard Wood the idea of sur gical procedure was abandoned. One-half saturated solution of alum was applied over the cicatrix at inter vals during one month in which time definite improvement was observed. The cyst became flattened and its walls thickened. Vision was 20/100 with glasses. Bilateral optic neuritis D R HILLIARD W O O D reported the fol lowing case of bilateral optic neuritis and presented the patient. J. D., white, male, aged twelve years, was seen Oc tober 28, 1931, at which time he gave the history of having irregular fever for the past week with gradual impair
ment of vision in each eye. There had been no pain. Quinine in small doses, had been given for a few days, approxi mately 30 grs. in all. Examination showed: O.D. Vision, 8/200, not improved with lenses. O.S. Vision, 20/15. Pupils were normal in size and appearance. Right eye: Very severe neuroretinitis, principally optic neuritis. There ap peared some infiltration in the macular region that might explain the low vi sion of this eye. The disc was swollen two to three diopters. There was no hemorrhage, but there was marked in flammatory edema in and around the disc. Left eye: A condition similar to that in the right, but not so severe, was found. The macular region was not in volved. The nose, antra and frontal sinuses appeared normal. There was no history of tonsillitis, but the tonsils were sep tic. The urinalysis was negative. A diagnosis of bilateral neuroretinitis of unknown etiology was made and a general physical examination advised. A complete physical examination was done at Vanderbilt University Hospi tal where it was thought that the neuroretinitis was probably caused by quinine. A week later the vision in the right eye had improved to 20/65. The patient was placed on bichloride of mercury and iodide of potash for their sorbefacient action. After the second week the vision of the right eye had improved to 20/50 and that in left eye had remained 20/15. There had been noticeable im provement in the optic neuritis in the right eye while that in the left eye showed little improvement. Discussion. I t was the opinion of the members present that, rather than qui nine, the cause of the optic neuritis was to be found in the cause of the febrile condition. They advised that if x-ray of the paranasal sinuses was negative the patient's tonsils and adenoids should be removed. H. C. SMITH,
Secretary-Treasurer.