OPHTHALMIA. 
263 
associated with great pain followed and sight was ultimately 
lost. The patient when first seen presented the following con¬ 
ditions : In the right eye was phthisis bulbi and occlusion of 
the pupil; the cornea was clear, though there was a scar at the 
limbus marking the point where the incision was made at the 
time of the operation ; slight ciliary injections were also present, 
and the eye was soft and extremely sensitive to touch or pres¬ 
sure. The other eye was sound, so far as external appearance 
and vision was concerned. The ophthalmoscope, however, 
showed a red papilla with indistinct edges, the vessels being 
dilated and the surrounding retina cloudy : the patient refused 
absolutely to submit to an operation, so he was put through an 
inunction, sweating and iodide of potassium. It may be well 
to add that there was no evidence of any syphilis, though the 
man was very pale and had a cachectic appearance ; he had no 
fever and complained of nothing but a trouble in his stomach. 
The treatment with the above formula proved fruitless, the pri¬ 
marily affected eye grew less irritable and gradually lost its 
sensitiveness to pressure, while the neuro-retinitis in the other 
eye increased and vision soon began to fail, followed by the ap¬ 
pearance of fine opacities in the vitreous body. The patient 
was lost sight of, and when next seen the vision in his good 
eye was and there was present pronounced neuro-retinitis, 
opacities in the vitreous body and beginning ciliary injection ; 
the other eye showed no further change. The cachectic condi¬ 
tion of the patient seemed worse, and he presented the appear¬ 
ance of one afflicted with carcinoma. He still refused to allow 
an enucleative, so he was put under active treatment, with a 
view to bettering the condition of the other eye, the eye in 
which the sympathetic ophthalmia was present. Things con¬ 
tinued to go from bad to worse ; posterior synechia appeared, 
and the vitreous body became so cloudy that it was not possible 
to see the fundus. The vision sank to recognizing the move¬ 
ment of the hand, the general condition grew worse until there 
was no longer any doubt of the existence of carcinoma of the 
stomach. He died a few days later. 
