An Analysis of 8670 Ophthalmic Cases Treated At a Home Hospital
An Analysis of 8670 Ophthalmic Cases Treated At a Home Hospital
A W Ormond
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On attempting to open the lids the patient resists forcibly by means of his orbicularis ; when this is overcome to a sufficient extent to see the globes, they are found to be rolled forcibly upwards, and the pupils are always kept covered by the lids ; he has great difficulty in looking downwards, and complains of pain and photophobia, and shows marked fatigue as a result of the examination. In some cases I have noticed an acceleration of the pulse-rate and also perspiration. The photo- phobia ...is not, however, really influenced by light, as the condition does not diminish in very subdued illumination ; these patients never move about as blind men would, they invariably avoid hurting them- selves ; but all the same they never relax, even if watched for weeks at a time, the groping action of people with extremely defective sight, and judged by every test they maintain this condition indefinitely, and are undoubtedly psychically blind ; the pupils react normally, and the fundus shows no definite change.
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