The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
with uniform benefit until finally after two hours constant work she
could read Jaeger No. 1. During all this day she was able to see
distinctly. The next day she was again unable to read but a short
repetition of the same course brought her vision back again. There was
no return of the blindness after that except occasionally for a short
time at intervals of two or three days.
In the course of ten days all trace of the difficulty had passed by and
since has never returned. This case was diagnosed as one of genuine
hysteria and not one of simulating blindness or malingering, and is
reported as the most marked case I have ever had illustrating the effect
of hokus pokusing (to call it by a mild name) which produced such a
strong mental impression that the patient lost sight of her own peculiar
mental condition, and by which a perfect cure was effected.
To her the blindness was real, and her friends feel that a remarkable
cure has been performed. Such a blindness can occur in any nervous
hysterical patient, while simulated blindness usually occurs in those
who wish to avoid service in the army or navy, or in the case of lazy
young people who do not wish to study at school or college, and in those
who have received a slight injury and wish to make it appear more
serious for the sake of obtaining large damages, either from private
individuals or corporations.
For its detection there are several methods which are usually sufficient
to give us positive proof that the blindness is not real. Von Graefe
placed a number eight or ten prism in front of the eye, with the base
upwards, downwards or sidewise, and if strabismus is present before the
removal of the prism there is binocular vision.
Juler places spectacles with an opaque glass in front of the good eye,
when, if the patient can read, he must see with both eyes; or he places
concave 20 before the good eye, when if the patient can read fine print
he must see it with the other eye.
Juval places a ruler before the eye so as to cover part of the page to
be read, when, if one eye is blind, not all the page can be read.
Mittendorf puts atropine in the good eye, when if the patient can read
fine print he is not blind with the other eye.
Wells places a prism in front of the supposed blind eye, and notices
whether the apis of vision of that eye changes when the prism is
removed.
Bull bandages the good eye and places a prism in front of the other eye,
and holds a lighted candle before the eye, and if the eye turns as the
prism is turned, the eye is not blind.
Public-domain text, read in full here on John Shaqi.
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