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A patient, then aged 21, suffered three years ago from a scotoma almost central; and was first seen six months after that with a macular choroidal atrophy and abnormal pigmentation. She suffered, we afterwards concluded, from choroidal tuberculosis. A recurrence involving adjoining choroid occurred fourteen months ago.
Furthermore, the possibilities of damage by hemorrhage from the choroidal or retinal vessels, delayed formation of the anterior chamber and adhesion of the capsule of the lens to the wound, and the injurious effects of even slight trauma subsequent to the operation, including loss of vitreous, are increased by omitting the conjunctival flap.
There were two pupils in the left eye, both to the outer side of the iris, one being slit-like and the other resembling the fourth pupil in the right eye. All six pupils commenced at the periphery, extended inward, and were of different sizes. The fundus could be clearly seen through all of the pupils, and there was no posterior staphyloma nor any choroidal changes.
Whether the action of the eserin on the choroidal circulation, which is maintained by Wahlfours, aids in this favorable action of the myotics remains to be proved. It has been maintained by this author and by others who have followed him.
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