File:Gaillard's medical journal (1887) (14580098948).jpg

Identifier: gaillardsmedical4518unse (find matches)
Title: Gaillard's medical journal
Year: 1887 (1880s)
Authors:
Subjects: Medicine
Publisher: New York : M.E. & E.W. Gaillard
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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of the drug. One pair of glasses had been prescribed underits use. The case was one of compound myopic astigmatism in whichthere was a severe spasm of the accommodative muscle. On the first morning five drops were instilled into each eye withina period of three hours. The patient complained at one time of dry-ness of the throat. This was relieved by drinking a little water. Atthe end of three hours the patient could only read the larger prints ofJaegers test-book within his far point, but, owing to a lack of uni- 446 SELECTIONS. formity in the results gotten by the functional examination, I suggestedthat he return on the morrow. On that day five more drops wereinstilled into each eye. In three hours the results of examination bythe functional method, retinoscopy, and the direct method tallied. j*Onthe morning of the fifth day the pupil and accommodation were normal.The examination now corresponding with that under, the use of thedrug, the glasses were prescribed and relief was given.
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Fig. 3. The dilatation was never any greater than that obtained from twodrops in other cases, and the effects passed off equally as rapidly. In order to determine the influence of eserine over a pupil, andaccommodation under the effect of the alkaloid, I had one drop instilledinto my left eye. As soon as the mydriatic and paralyzing effect SELECTIONS. 447 became evident, frequent instillations of a solution of the sulphate ofeserine (gr. i^-f?j.) were made. After a few minutes the eserine wouldenable me to overcome the effect on my accommodation, and I wouldbe able to read with an effort for a short time. The pupil would becomesomewhat smaller, but never, on the first day, returned to its normalsize. For several hours before retiring the instillations of eserine wrerediscontinued, and at midnight the pupil was practically dilated admaximum, and the accommodation completely paralyzed. On the fol-lowing day both pupil and accommodation could be managed by frequentinstillations of the es

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