Complete Text (Part 7)

the names imply, are a combi- nation of insufficiencies. The four preceding tables will eicplftin these combinations. Insufficiency of the Externi. To delermine insufficiency of the externi, place a prism of 10° before the right eye, Ihe apex up. Ask the subject to look at a light twenty feet distant ; two lights will be seen. The upper light will be projected on Ihe right side of a perpendicular second prism over Ihe left eye, apex in, \i'hich will bring the the insufficiency, or esopkoria. Insufficiency of Left Inf. Rectus, or Right Sup. Rectus (Ijfi Hyperphoria). To delermine insufficiency of the left inf. or right sup. rechi-!, a prism of sufficient strength to cause marked diplopia is placed, base in, before Ihe righl eye. The light on the patient's right will be projected above the hori- zontalline. Asecond prism over the lefl eye, apex up, which will bring the lights on the same horizontal plan left hyperphoris Hyperesnphoria, Right and Left, As the names imply, are a comhi- four preceding tables plain these combinario Trealmenl ef Musiular Imufficienciei with Asthcnapia. 1. Correct all errors of refraction, especially astigmatism, order toni 2. Systematic enereise of the weak muscle. 3. Prisms with the base over the weak cmiscle. 4. Tenotomy of ihe strong, or (dvancemeiit of the weak n 86 PARALYSIS OR PARESIS OF THE OCULAR MUSCLES. Paralysis or Paresis of the Inter- nal Rectus Muscle. 1. Crossed Diplopia. (See page 83.) 2. Patient is directed to look at a par- ticular object and apparently sees two (diplopia). The diplo- pia disappears by turning the head to the left when the right internus is affected, and to the right when the left is affected. 3. If told to follow the finger, the eye affected will lag behind when THE FINGER IS MOVED OVER, AND ON THE SIDE OF THE AF- FECTED MUSCLE. All of the muscles supplied by the third nerve are usually more or less affected. Not infrequently the branch which supplies the ciliary muscle is alone a£fected, causing /ara/v« J of accommoda- tion. Paralysis of all the external mus- cles of the eye is termed Oph- thalmopUgia Externa. Treatment Is directed to the Paralysis or Paresis of the Ex- ternal Rectus Muscle. (Par- alysis of the sixth nerve J. 1. Homonymous Diplopia. (See page 83.) 2. Patient is directed to look at a par- ticular object, and apparently sees two (diplopia) . The diplo- pia disappears by turning the head toward the affected muscle. (Muscle is then completely re- laxed). 3. If told to follow the finger tip, the eye affected will lag behind when the finger is moved over and on the side of the affected muscle (Paralytic squint). Paralysis of all the internal mus- cles of the eye is termed Oph- thalmoplegia interna. cause, which is usually intracranial. ^^^^IHr ^^^H ^H^p Anterior chamber, deep, 33, Jo, 32, 36 " " foreienbodiesin. 73 ■ Abdoction. 83 " shallSw, 32,41.53, Abrasion of cornea, g, 10 55. 59, 62-67, 71 Abscess of. brain. 45 Anterior synechiie, 15 cornea, g, 12, 13, 18, 23 Antimetropia, 82 trealraentof, 12 Aphakia, 36, 80 " lachrymal sac, 78 Apoplexia of retina, 64 Apparent myopia, 79 ■' orbit, 74, 73 AquQwcapsulitis. 30 Absolnle glancoma, 66 Arc us senilis, 23 A ri^y 11- Robertson pupil, 53 66,70 Arterial pulsation. 72 Accommodation, paralysis of, 86 Asthenopia, 79, 80, 85 Accommodation, spasm of, 79 Asthenopia, muscular, 85 Acule glaucoma, 62, 63, 31 Astigmatism, corneal, 81 treatment of, 63 hyperopic, Si Adduction, 83 " comp,.Bl Adhesions of pupil, afi, 32 irregular, 81 Albuminuric neuto- retinitis. 46. 42, lenticular, 36 45, 47,48, 49, 5'. 56. 58,64 mixed, 81 Albuminuric neuro-tctiiiitis, treatment myopic, 81 of, 47 comp., 8r Alcohol amblyopia, 60, 67 Atrophy of, choroid. So. 50, 56 AlternatinE sqaint, 84 ■■ disc, 50-53, 60, 61, 7a Amaurosis, 60 Amblyopia, 60 exnbusu,6o B ex anopsia, 84 from alcohol, 60, 67 Blennorrhcea. a " " tobacco, 60, 67 Blepharitis, 75 ciliaris, 75 " treatment of, 60 maiginalis, 75 Ametropia, 79 Amyloiddegenemtion of conjunctiva, 7 Blepharospasm, 9, 10, 16 Blind spot enlarged, 68, 48. 54 Aoiesthesiaof cornea, 63, 16 Blood-vessels in vitreous, 39, 43 Anchyloblepharoti, 77, 74 Angioma of^orbit, 74 Buphlhnlmus, 11 Burns of conjunctiva, 73, 74 Anisometropia, 82, 79 " lids, 74 8 , ^^^^^^^^^^^^^^^^^^1 Sd INDEX. (i t« ti <( it Carcinoma of choroid, 59, 55 Cataract, 34, 35 ant. polar, 34 cortical, 34 nuclear, 34, 39 post, polar, 34 pyramidal, 34 ripe senile, 44 soft, 35 traumatic, 35, 73 Catarrhal, ophthalmia, 2 Cellulitis of orbit, 74 Cerebral, abscess, 45 ** tumor, 45 Chalazion, 74, 76 Chancre on lid, 74 Chemosis, 2, 14, 25, 27, 30 Choked disc, 44, 52 Cholesterine crystals, 38 Choroid, atrophy of, 50, 56, 80 ** in myopia, 80 hemorrhage in, 40 rupture of, 40 sarcoma of, 59, 55 tubercle of, 58, 57 vessels of, 59 Choroidal changes in myopia, 80 Choroiditis, 56, 46, 54, 57 central, 56 ** treatment of, 56 disseminated, 57, 46, 50 ' treatment of, 57 . exudation in, 50 vitreous opacities in, 56, 54, 57 Chronic glaucoma, 66-68 Ciliary muscle, contraction of, 79 Coloboma of choroid, 33 " , iris, 33 Color of disc, 72, 69 Colored rings around artificial lights, 62, 65-68 Concomitant squint, 84 Conical cornea, 1 1, 23 t ti << «< (i it ii (i (( t« (( ii it ii ti it «i it ti «« « <t it «i it Conjunctiva, amyloid degeneration, 7 burns of, 73 ecchymosis of, 7 foreign bodies in, 73 sarcoma of, 7 Conjunctivitis, 2, 27, 65 catarrhal, 2 chronic, 3 contagious, 3 croupous, 3 diphtheritic, 3 epidemic, 3 gonorrhoeal, 3 granular, 5 phlyctenular, 4, 8, 25 purulent, 2 secondary, 3 traumatic, 3 treatment of, 3, 4, 6 Contraction of pupil, i, 25, 27, 29, 32, 67 Convergent squint, 84 Cornea, abrasion of, 9, 10 ' ** treatment of, 9 abscess of, 9, 12, 13, 18, 23 anaesthesia of, 16, 63 • conical, II, 23 fistula of, 14 foreign bodies on, 73, 74 hernia of, 14 herpes of, 1 1 infiltration of, 9, 17 opacities of, ii, 15, 22, 23 perforation of by ulcer, 14 staphyloma of, 15, 23 ulcer, 12, 14, 15, 19 Corneal, astigmatism, 81 ** staphyloma, 15, 23 Creeping ulcer of cornea, 14, 61, 66, 72 Crystalline lens, discoloration of, 36, 37 ** ' foreign body in, 73 " tilting of, 36 Crystals of cholesterine, 38 Cupping of optic disc, 72, 32, 61, 66 Cyclitis, 31 Cysticerci, 73, 74 n t < ii <i it it ii tt it it ft Dacryo-adenitiB, 78 Dacryo-cystitU, 78 Deorsnmdoction, B3 Descemilis, 21, 30-32. 7^ Detached relina, 43. 4^. 55. 59 " " compUle, 44 " " treatment of, 43 Diabetic reliaitis, 49 treatment of, 49 Dilatation of pupil, i, 26, 3o, 32, 4 62, 65, 66 Diphtheritic conjunctivitis, 3 Diplopia, 83, 84. 86 crossed, 83. 84. 86 honmnymous. 83, 84, 8G monocular, 81 Disc, atrophy of, 53-50. 60, 6r, 7^ " choked, 44, 5s " color of, 72. 52. 69, 80 '■ excavated, 72, 6g " hemorrhage ou, 44, 53 " oval. Hi, 80 " physiological cupping of. 61. 72 Diseases of, lids. 74-77 " lachrymal apparatus. 78 " ■' orbit, 74 Dislocation of crystalline lens, 36, 37 Disseminated choroiditis, 57, 4^, S" Distichiasis, 74, 75 Divergent squint, 84 Double vision, 86, Bi, 83, 84 Ecchymosis sub-conjunclival, 7 Ectopia lenfis, 36 Ectropion, 76, 74 Embolism cent, arlery of retina, 51 Emphysema of orbit, 74 Enchondtoma of orbit, 74 Enlropion, 76, 6, 74 Epiphora, 76-78 Epithelioma of lids, 74 Episcleritis, 8. 28 " treatment of, 8 Errors of refraction, 79-93 Esophoria, 85 Excavation of disc, 72 Exclusion of pupil, s6 Eiophoria, 65 Exostosis of orbit, 74 Exudation, in the choroid, 50 " retina, 42 '■ vitreous, 41 Eyelashes, diseases of, 75 Eyelids, diseases of, 74 imodftlion. 32, 36, 63. Failure of 66, 70 Farsight. 79 Fascicular keratitis, 10 Field of, alcohol or tol opia, 60, 67 " ■' glaucoma, 6s, 66, 67, 53 ■' " optic-nerve atrophy, 53 " pigmentary retinitis, 50 '■ ■' retro-bulbar neuritis. 60 Filaria in lids, 73 Fistula of, cornea, 14 ■' lachrymal sac, 78 Flashes of light, 6[ Foreign bodies behind the vitreous, , Foreign bodies in, ant. chamber, 73 " ■' conjunctiva, 73 1. 73. ibly. ,73 crystalline lens, 73 iris, 73 •■ orbit, 73, 74 " vitreous, 73 ; of orbit, 74 pigmentation of. 50, 56, 57. 90 INDEX. tt (< ii <( i( (( (( (< (• 1 1 Glaucoma, disc of, 72 absolute, 66 acute, 62, 63, 31 anaesthesia of cornea in, 63 chronic, 66-68, 53 colored rings around lights in, 66 dilatation of pupil in, 53, 62-64, 66-68 excavation of disc, 66, 72 field of, 62, 65, 66 hemorrhagic, 64 pulsation of arteries in, 72 secondary, 71 shallow ant. chamber, 62, 63,65 sub-acute, 65 tension in, 62-68 Glioma, 55, 41 ** treatment of, 55 ** pseudo, 41 Gonorrhceal, conjunctivitis, 3 • iritis, 30 Granular, conjunctivitis, 5 lids, 5 * * treatment of, 6 ophthalmia, 5 Granulations, vascular, 5 Granules, non-vascular, 5 sago-grain, 5 Ground-glass appearance of cornea, 17 Gumma of, iris, 33 ** ** treatment of, 33 lids, 74 H Halo around artificial lights, 66 Hazy vitreous, 38 Hemeralopia, 50 Hemorrhage in retina, 44, 48, 64 ' ' vitreous, 40 Hemorrhagic glaucoma, 64 ** treatment of, 64 «i (( t ( K (i Hernia, of cornea, 14 Herpes of cornea, 1 1 Homonymous diplopia, 83, 84, 86 Hordeolum, 76 Hyalitis, 38 Hydrophthalmus, 11 Hyperesophoria, 85 Hyperexophoria, 85 Hypermetropia, 79, 80 and connective tissue in disc, 52 latent, 79 manifest, 79 Hyperphoria, left, 85 right, 85 Hypopyon, 12, 13, 20 treatment of, 13 «( It t( «t «< ti (( Indolent ulcer of cornea, 15 Inflammation, sympathetic, 70, 71 Injuries of the eye, 73, 9 Insufficiency of, external recti, 85 inferior recti, 85 internal recti, 85 ** superior recti, 85 ** treatment of, 85 Intra-cranial, abscess, 45 ** . tumor, 45 Interstitial keratitis, i6, 18-22, 24, 31, 63 " ** treatment of, 17 Intra-ocular tension, I, 26, 32, 62, 64-66 Iridectomy, 73, 26, 33, 62 " in glaucoma, 62 Irido-choroiditis, 26 Irido-cyclitis, 31, 26, 30 ** treatment of, 32 Iridodonesis, 36 Iris, coloboma of, 33 ' foreign body in, 73 ' gumma of, 33 ** injuries of, 73 ' tremulous, 36 •* tubercle of, 33 ^^^^^^^^H ^M Iritis, 35, 07-30. 62, 70 Latent hypermetiopia, 79 ■' gOQorrhceil, 30 Lens, tilled, 36 " gouty. 30 Lenticular, astigmatism, 36 " gummy. 33 Leucocythemic retinitis, 49 ■' plastic, 30 " rheumalic, b6, 30. 31 " serous. 30, 31 Lids, diseases of, 74, 5, " syphilitic, 26. 30, 31 Luxation of crystalline lens, 36 " tension in. 36-29 " treatment of. 26 M K Madarosis, 75 Manifest hypermetropia, 75 Keratitis, bullosa, 11 Megalopsii, 61 diffuse, 16, 18-22, 24: 31. 63 Membranous opacity in vitreous, 39, 43 ground-Ela55 appearance in. Metamorphopsia, 42, 61 17, 3t treatment of, 61 interstitial, 16, 18-22, 24, Micropsia, 5l 31.63 " parenchymatous, 16, 18-22, '■ diplopia, 81 Mucocele, 78 24, 3'. 63 Musca; volitantes, 38 phlyctenular, to. 11. 16 Muscles, 83 " insufficiencies of, Ss Mydriasis, i, 26 " punctate, 21 Mydriatics, i treatment of, 21 Myopia, 7g, 80 suppurative, 14 apparent, 79 ulcerative, 14. 12, 19. 76 Myopic crescent. 72 " vascular, 7, H Myosis, 1.25 , Kerato-maiada, 16 I ^^^H Keratocele, 14 Kerato-conus, 11 ^^^^1 Kecato-jlobus, I. Kerato-intis, 25 Near 79 ^^^^H Nebular22 ^^^M L Nervous wink, 77 ^^| Neuritis, albuminuric, 46 ^M Lachrymal, abscess. 78 descendens, 44 ^H fistula. 78 optic, 53, 44. ^1 gland, inflammation of, 78 retro-bulbar, 6a ^M " sac, abscess of, 78 Neuro-paralylic keratitis, 16 ^M " ■' inflammation of, 78 Neuro-retinitis, 44, 46 ■ stricture, 78 Lachrymation, 2, g, 10, 16, 24, 26, 70 with cerebra - spinal ■ Lagophthfllmus, 77 meningitis. 44 ■ 92 INDEX. <t i< Neuro-retinitis, with continued fevers, 44 diabetic, 49 from lead poisoning, 44 syphilitic, 44 Nictitation, 77 Night blindness, 50 Nuclear cataract, 34. 39 Nystagmus, 83 treatment of, 83 O Occlusion of pupil, 26 Ocular muscles, 83-86 Old sight, 82 Onyx, 12 Opacities in, vitreous, 38-40. 43, 71 • treatment of, 38 of cornea, 22, 11, 15, 23 ** treatment of, 22 Opaque nerve fibres, 48, 54, 69 Ophthalmia, catarrhal, 2 ** diphtheritic or croupous, 3 • epidemic, 2 '* gonorrhceal, 3 ** granular, 5 '* neonatorum, 3 ** purulent, 2 ** sympathetic, 70 Ophthalmopl^ia, externa, 86 ** interna, 86 Optic disc, excavation of, 72, 66, ((), ' ** ophthalmoscopic appear- ances of, 72 nerve, atrophy, 53-50, 60, 6 1, 72 ** ** treatment of, 53 ** connective tissue on, 52 neuritis, 52, 44 Orbicularis muscle, paralysis of , 77 ** spasm of, 9, 10, 77 Orbit, diseases of, 74 It <t (i i( it (i ii Pannus, $, 24 Panophthalmitis, 73 Papillitis, 52, 44 ** monocular, 45 Papillomata of lids, 74 Paralysis of, accommodation, 86 ciliary muscle, 86 orbicularis muscle, 77 seventh nerve, 77 sixth nerve, 86 third nerve, 86 Paralytic squint, 86 Paresis of ocular muscles, 86 Phlyctenular, conjunctivitis, 4, 8, 25 ' keratitis, 10, li, 16 ' • treatment of, 10 *' ulcer, 8, 10, ii Phlyctenule, 4, 8, 25 Phosphenes, 61 Photophobia, 2, 4, 5. 9, 10, 14, 16, 24, 25, 30, 31, 62, 70 Photopsia, 61 ** treatment of, 61 Phthisis bulbi, 73, 71 Physiological excavation of optic disc, 66, 72, 61 Pigmentation of fundus, 50, 56, 57, 80 Pigmented retinitis, 50 ** ' treatment of, 50 Pinguecula, 4 Polyopia, 81 Posterior, staphyloma, 68, 69, 72, 80 ** synechiae, 26, 32, 71 Presbyopia, 82 Pseudo-glioma, 41 ** ' treatment of, 41 Pterygium, 7 Ptosis, 77, 74 Pulsation of arteries in glaucoma, 72 Punctate keratitis,2i ' ** treatment of, 21 Punctum, displaced, 76, 77 Pupil, adhesions of, 26, 32, 71 " Argyll-Robertson, 53 ** contraction of, i, 25, 27-30, 32, 37, 62, 67, 70, 71 ** dilatation of, i, 30, 32, 41, 53, 55, 59, 62-67 ^^^ INDEX. 93 ■ greenish hue, in gla 62 ciliary muscle, 79 ■ ■' rnmjimes, I " orbicularis muscle, 77 H " in insanity, I Specks floating before the eyes, 38 ■ " in melancholia, t Squint, alternating, 84 ^| ' ' occlusion of. 26 " reflex imtalion of. I ■ convergent, 84 ■ Pus in the vitreous, 41, 73 divergent,84 ■ ' dynamic. 85 H R ; paralytic, Bfi H periodic, 84 ^H Retraction, errors of. 79-8 Retina, atrophy of, 80 ■■ vertical, 84 1 ' '• detachment of. 43, ■(=,55 59 Staphyloma, of cornea, 15, 23 ' plete 44 posterior, 68, fig, 72, So ■■ embolism in central irteryof,5i Strabismus {vide Squint), B4-86 ■' hemorrhage in, 64 " deorsum vergens, 84 Retinitiri, slbuminuric, 46-40, 51 56, sursum vergens, 84 58. fi4 Stricture of nasal duel, 78 apoplectic, 64 Stye, 76 diabetic, 49 Subacute glaucoma, fig " exudation in, 42 " leucocythemic, 49 vitreous, 41, 73 pigmented, 50 Sursumduction, 83 " syphilitic, 49 Symblephaion, 77 Retinoscopy. 82 Retro-bulbar neuritis. 60 treatment of, 71 Rupture of the choroid. 40 irritation, 70 tmcn of, Synehisis, 38, 71 40 scinlillans, 38 Synechia, anterior, 15 S posterior, a6-39, 32, 71 Syphilitic retinitis, 49 - Sago-grain granules, 5 Salmon patch, 17, 24 T Saruoma, of choroid. 59. 55 eatol 59 Tension +, 26-30, 31, 4:, S3. 55. 59. conjunctiva, 7 fi2-67, 71 ScIeritU, B Tension -, 32, 47, 44, 55, 71 " treatment of, 8 Tension in, cyclitis, 3 1 Scotoma. 42, 43, 60, 67 Secondary glaucoma, 71 glaucoma, 62-68, 71, 53, uitis, 2fi Serous intis, 30. 31 " pseudo-glioma, 41 30 sympathetic infiamma- Serpiginous ulcer of cornea 14 tion, 71 Shadow test, 8a Tiger-skin fundus, So Sloughing ulcer of cornea. 4 ■ ■ Tobacco amblyopia, 60, fi7 94 INDEX. (i 44 Trachoma, 5 Traumatic cataract, 73, 35 Tremulous iris, 36 Trichiasis, 75 Tubercle of, choroid, '58, 57 ** treatment of, 58 iris, 33 ** treatment of, 33 Tumors, malignant, 74 non-malignant, 74 of brain, 44 U Ulcer of cornea, 14, 12, 19 ' creeping, 14 * * indolent or chronic, 1 5 ** perforating, 14 * * phlyctenular, 8, 10, 1 1 ** serpiginous, 14 ** sloughing, 14 " treatment of, 15 Vascular keratitis, treatment of, 24 Vessels of choroid, 59 Visual field in, alcohol amblyopia, 6c ' ' glaucoma, 62, 65, 67 ** ' optic atrophy, 53 " pigmented retinitis, 5( ' ' posterior staphyloma.^ ' *' tobacco amblyopia, 6c Vitreous, exudation in, 38, 41 fluid, 38, 36 foreign body in, 73 hazy. 38 hemorrhage in, 40 opacities in, 38-49. 43i 7^ suppuration in, 41 W «< (< i( it II <i Watery eye, 78 Winking, nervous, 77 Woolly disc, 52 Vascular keratitis, 7, 24 Xanthelasma, 77 Xerosis, 7 I LANE MEDICAL LIBRARY To avoid fine, this book should be returned on or before the date last stamped below.