Tabacum - Eyes symptoms - T.F. Allen

EYES

Eyes

Objective.

Dark redness around the eyes,

Eyes staring,

Eyes fixed,

Eyes turned upward,

Sparkling eyes,

Eyes sunken and seeming small,

Eyes lost their brilliancy,

Eyes listless and heavy,

Eye had a haggard appearance,

The eyes are dejected, without brilliancy, deeply sunk in the orbit,

Eyes closed,

Closure of the eyes and photophobia,

Injected eyes,

Eyes highly injected cornea vascular and semiopaque,

Cornea dim, covered with mucus,

Redness of the cornea, with some photophobia; if she looks towards the light she is obliged to close the eyes (second day),

Decided exophthalmus in consequence of the weakness of the recti muscles,

The ophthamoscope demonstrates an atropic condition of both optic nerves, the inner (apparent) half of each, seen in the reversed image, being quite white and non vascular; the outer part being redder, and more vascular than normal,

By means of the ophthalmoscope, both optic nerves appear of brilliant white color, their areas being enlarged, and their outlines clearly defined,

The fundus of each eye seems quite normal, with the exception of the optic discs, which appear too large, and irregularly circular, the tissue being quite of tendinous whiteness,

Subjective.

Tight tension and drawing, extending from the left eye down into the upper jaw (first day),

The eyes are painful, as after long weeping (first day),

Pain in the eyes and flickering, on looking intently at an object (second day),

Pressure in the right eye, which extended into the occiput (eighth day),

Pressive sensation in the eyes, especially on moving them,

Pressure in the eyes,

Feeling as if a hair were in the right eye, towards evening (fourteenth day),

Heat in the eyes, with lachrymation (fifth day),

Burning in the eyes,

Burning in the eyes, in the evening, while reading,

Some stitches in the left eye, after a few minutes,

A kind of burning, with a sensation of coldness in the eye (first day),

Orbit.

Numbness of orbicularis oris (frequently immediately after taking a chew of tobacco),

Pressive sensation, deep in the orbits, with weakness of the eyes and vertigo,

Dull pain in the base of the orbits, with redness of the eyes,

Sticking above the right eye, extending from the outer margin of the eyebrow to the inner, into the orbit (first day),

Some fine stitches in the upper part of the orbit (first day),

The orbits are heated (first day),

Lachrymation.

Lachrymation,

Lachrymation, on looking intently at anything (second day),

Lid.

Squinting, when trying to read,

Twitching of the left upper lid (after one hour),

Eyelids in persistent motion, half voluntary,

Eyelids granular,

Contraction of the lids, with a biting pain in the eyeballs (after seven minutes),

Contraction of the lids and lachrymation (first day),

Spasmodic contraction of the lids and masseter muscles; inability to open the mouth,

Violent itching in the inner canthus of the right eye, with burning after rubbing (after half an hour),

Conjunctiva.

Great injection of the conjunctiva,

Conjunctiva injected,

Frequent sensation of a foreign body in the conjunctiva, apparently caused by the irritating action of the smoke,

Ball.

Pressure in the eyeballs (after two hours),

Violent digging-drawing pains in the eyeballs and temporal regions, aggravated by motion, with distended vessels and increased throbbing in them,

Heat in the eyeball (after five minutes),

Pupil.

Pupils dilated, etc.

Pupils dilated, fixed, and staring,

Both pupils are rather large, but the motion of the irides are active,

Both pupils rather large, and motions of the irides sluggish,

Pupils considerably dilated and not much influenced by light,

Pupils greatly dilated,

Pupils greatly dilated and insensible,

Pupils unnaturally dilated, on the approach of light,

Pupils fully dilated and quite insensible to the light of a candle held close to the eye (third day),

Pupils irregularly dilated,

Contraction of the pupils,

Pupils much contracted,

Pupils contracted, irresponsive to light,

Pupils decidedly contracted, but slightly sensitive to light,

The right pupil exceedingly contracted; the left was much larger than usual, and had lost its circular form; both were unaffected on the approach of light,

Vision

Vision weak,

Dimness before the eyes, as from mucus (first day),

Indistinct vision for some minutes (twelfth day),

Objects are not seen as distinctly as usual (second day),

Obscuration of vision,

Eyesight affected,

Sight failing for six weeks, being alike in the two eyes. Vision = 16 JäGeranium Maculatum ^ger; not improved by glasses,

For an uncertain time he has noticed his sight to be gradually failing, until now it has become so imperfect that is unable to attend to his business,

For a long period his sight has gradually failed, till he can only see to read, for a short time, characters of one-third of an inch,

About nine months since his sight began to fail, and has continued to get worse to the present time. He can only see to read No. 18 test-type (canon) with his left eye, and with the right, No. 16 (two-line great primer), word by word; and distant objects are equally indistinct,

Slight failing slightly for twelve months, the defect being most apparent in a bright light (? central scotoma). With his glasses he could, however, still read the newspaper; but his distant vision, unaided by glasses, was only 40 Snellen, at fifteen feet. Optic discs definitely pale at their temporal portion; no other changes,

Complained for three years past that he had been unable to find suitable spectacles. The sight had failed gradually, but he believed that it had remained stationary for about six months prior to his admission. Vision, without glasses, each eye = 18 JäGeranium Maculatum ^ger, and not 200 Suellen, at twenty feet. Pupils active, the left rather larger than the right. Is using strong glasses (+5), but they are of little service. Optic discs definitely pale all over, but much more so on the yellow-spot side. No other changes, unless a slight mistiness of the retina around the discs,

Vision 1/20; nothing in the distance. Discs decidedly whiter at the outer than at the inner part. Dimness came on suddenly; as he was walking, "a lot of gnats seemed to come before the sight;" sight has not got much worse since that time,

Vision 20/200. O. Ds. congested and somewhat swollen and slightly hazy; vessels not obscured,

Failure began six years ago; right failed two or three weeks before left. It began as if a large drop of water was before the eye; this increased in size; also a floating muscae before each. Discs rather pale, left universally, right only on yellow spot side,

Amblyopia, accompanied by intolerance of light, especially blue. Very slight pressure on eyeballs makes vision worse,

She becomes almost blind for a few minutes, towards evening; it seems as though a veil were before the eyes; on rubbing the eyes it becomes worse (third day),

His sight was so imperfect that he could not see small objects, even when near him,

Blindness almost complete,

Darkness before the eyes,

Vanishing of sight,

Vanishing of vision, on looking at a white object,

Increased presbyopia,

Flickering before the eyes (first day),

Fog before the vision,

Black spots before the eyes,

More black points than usual before the eyes, on looking (first day),