File:Text-book of ophthalmology (1919) (14778511521).jpg

Identifier: textbookofophtha1919fuch (find matches)
Title: Text-book of ophthalmology
Year: 1919 (1910s)
Authors: Fuchs, Hofrat Ernst, 1851- Duane, A. (Alexander), b. 1858, tr
Subjects: Ophthalmology Eye Ophthalmology Eye Diseases
Publisher: Philadelphia & London : Lippincott
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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els; many of these cases are probably identical with those of thrombosisof the central vein, as described on page 575. 582 TEXT-BOOK OF OPHTHALMOLOGY 8. Retinitis Proliferans.—Manz described under this name an affection in whichdense masses of connective tissue extend out from the retina into the vitreous andcover a portion of the fundus—in fact, even the papilla itself (Pig. 256). Into thesemasses run new-formed vessels from the retina. For a number of these cases it is probablethat these masses of connective tissue have been preceded by haemorrhages, whichwere poured out from the retina into the vitreous and afterward became organized (seepage 571). (Much the most common cause of these are the spontaneous haemorrhagesoccurring in the retina and vitreous in young persons particularly as a result of tuber-culosis (see pages 562 and 573). Other causes alleged are anaemia, chlorosis, menstrualcongestion, syphilis, nephritis, diabetes, arteriosclerosis, oxaluria, etc. Other cases are
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Fig. 256.—Retinitis Proliferans. In a man thirty-five years of age, who suffered frequently from palpitation of the heart and nose-bleed, sudden obscuration of the sight occurred in both eyes fivi; years ago. This obscuration has re-curred repeatedly since, being due to recurrent haemorrhages into the vitreous. In the vitreous ofthe left eye close to the papilla lies a shining white mass having a structure partly fibrous, partly gran-ular. From this mass pass strands in different directions, some extending as far as the periphery ofthe fundus. No vessels are recognizable in the white mass, which rovers the upper half of the papilla.The other half of the papilla and the rest of the fundus are somewhat hazy Cowing to the presence of afaint opacity of the vitreous), and besides appear indistinct, because the ophthalmoscope i- adjustednot for them, but for the connective-tissue mass, which i.^ situated farther forward. Indistinctly vis-ible are indications of the retinal vessels (above

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