Unilateral albuminuric retinitis : with report of a case / by Walter L. Lyle.

  • Pyle, Walter L. (Walter Lytle), 1871-1921.
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Unilateral albuminuric retinitis : with report of a case / by Walter L. Lyle. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    The right eye never became affected. Notwithstanding his long-continued nephritis and several minor ail- ments, the patient was able to do his work fairly well for one of his age—62 years. The cases of de Schweinitz, of Hasbrouck, and my own presented similar appearances, and the initial lesion was undoubtedly in the bloodvessels. From the peculiar venous picture in his second case de Schweinitz was led to believe that the primary lesion was throm- bosis of a venous branch rather than a true retinitis. He states that he suspects that in some of the other cases reported as unilateral neuroretinitis the same lesions may have been present, and he quotes in evi- dence Knies, who has seen hemorrhage into the optic nerve of one eye, with blindness, in a case of albumi- nuria, followed in one year by a pure hemorrhagic retinitis in the opposite eye. De Wecker^^ says that there are certain forms of retinitis attending nephritis that appear merely as simple hemorrhagic retinitis, but in the vast majority of cases true nephritic retinitis is characterized by the appearance of patches of fatty degeneration either connected with or independent of old-standing clots. He adds that, while cases of simple apoplectiform retinitis are not infrequent in which the affection is limited to one eye or does not attack the second until late, true nephritic retinitis generally commences simultaneously or within a short interval in both eyes. These statements are certainly the most definite in the literature of the subject, and are borne out by all three of the most recently reported cases in this country. Although the terms characteristic and true are rather vague, there being such a diversity of picture in albuminuric retinitis, yet we can say that none of the three cases was the result of primary inflammation in the nervous structures, but rather the effect of a considerable hemorrhage.