File:Fletcher Oxycephaly 9.jpg

skull (Plate 32). Did not know when the deformity of the head began. Blind in left eye as long as she could remember. Had suffered with headache, usually vertical, all her life. Single. No past illnesses of importance. One of twins, the other having died in infancy. English descent. Typically oxycephalic: dark sallow complexion, greasy skin. Nose deflected to left. Hard palate asymmetrical. Distinct exophthalmos; divergent squint; some nystagmus; blind in left eye; pupils react normally. Mr. Holmes Spicer reports on the eyes : 'Some fibrous vitreous opacities ; both optic disks very wbite, having a convex or heaped-up appearance and with a somewhat uneven edge in the left eye. Marked whitening of the veins in both eyes extending far out from the disk. In the central region of both is a large number of small deposits in the choroid, smaller in the right than the left (? hyaline bodies). Visual field of right eye greatly diminished Sense of smell defective. Taste and hearing good. No malformation of the