A case of secondary hypernephroma of the iris and ciliary body / Burton Chance.

  • Chance, Burton Kollock, 1868-1965.
Date:
1907
Catalogue details

Licence: In copyright

Credit: A case of secondary hypernephroma of the iris and ciliary body / Burton Chance. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    1/16
    / 0 BURTON CHANCE, M.D. Assistant Surgeon, Wills Hospital; Ophthalmologist to the Ger- mantown Dispensary and Hospital. PHILADELPHIA. The man whose history is here detailed came under my observation first in the wards of the Germantown Hospital on Oct. 11, 1905. He had had hemorrhoids, and Dr. C. A. Whiting had operated recently for the removal of them. The house surgeon, Dr. Markle, called my attention to the man because of there being, as he supposed, a growth in the left eye. At the time I made my examination the patient was in what he deemed his usual good health and suffered only from his rectal disease. In the month past he had been an- noyed by obscuration of his sight, especially of the left eye, though that eye was neither painful nor tender. I discovered on his body, beneath the skin, over the region of the costo- cartilaginous junctions on the thorax, several nodular enlarge- ments. These masses were movable and reminded me of the enlargements of the cervical glands common in constitutional syphilis. In the left groin there was a large bubo. Arising from the middle pillar of the iris of the left eye, and on the horizontal meridian, was a spherical tumor, mot- tled gray in color and approximately 4 mm. in diameter. No signs of inflammation were present. On the nasal side of the globe were several leashes of dilated blood vessels which were arranged triangularly with the base at the limbus. The tumor was flattened against the posterior membrane of the clear cornea. The iris presented no other abnormality. The pupil was round, about 4 mm. in diameter and changed freely to various stimuli. By oblique illumination no defects in the lens were noticed. The anterior chamber was of the depth of that of the fellow eye; the tension being only slightly raised above that of the right. No tenderness was elicited. * Read before the American Ophthalmological Society, session at New York City. June 28 and 29, 1906.