Reflex neuroses arising from ocular and nasal abnormalities : oration in ophthalmology / by S. Lewis Ziegler.

  • Ziegler, S. Lewis (Samuel Lewis), 1861-1926.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Reflex neuroses arising from ocular and nasal abnormalities : oration in ophthalmology / by S. Lewis Ziegler. Source: Wellcome Collection.

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

    10/26 (page 8)
    mc-nt, are, nevertheless, most persistent in causing these perverted nerve impulses. We have at our command four different ways of remedying these de- fects : I, Correction of the error through correction of the refraction; 2, correction of the deviation by the adjustment of prisms for constant wear; 3, orthoptic training or prism exercise; and, 4. read- justment of the tendinous insertion by partial tenotomy. Some may escape these deleterious ef- fects through monocular vision, while others with good vision in both eyes may not possess the power of binocular fusion. The physician who ignores the proper correction of muscular errors simply courts failure to relieve many S3'stemic reflexes, by over- looking a most important exciting cause. 4. All observers agree that painful scars may cause annoying reflexes, and scars in the ciliary re- gion are no exception to this rule. Traumatism of the ciliary body, pressure on the sharp spicules of a chorodial bone, or the undue shrinkage of an old phthisis bulbi have all demonstrated the necessity of enucleation in order to remove the exciting cause. Numerous cases of epileptiform seizure have been relieved in this way (Stevens, Stoewer, Galezow- ski''). which simply goes to prove the contention of Landon Carter Gray that epilepsy is only a symp- tom, and may be either central or peripheral in origin. NASAL ORIGIN OF REFLEX NEUROSES. Although but little attention has been given to the nasal origin of systemic reflexes, many well known observers have recorded their affirmative views. H. C. Wood'' has expressed the opinion that diseases and malformations of the nasal cavity, and aural --Alienist and Neurologist, January, 1880. ■■'■■'Kliiiischc Moiiatsbtiittcr fiir Aitgcnhctihiinde, iSgb, p. 2S9. -^Kccciiil iVOfhtalinologic, January, 1886. ^■■rrp[ier's American Textbook, i, p. 620.