Detachment of the retina is always a serious condition. It is not an
unfrequent complication in high degrees of myopia. In three hundred
cases collected in Horner’s clinic, 48 per cent. were in myopic eyes.
Its progress is generally unfavorable. It is usually treated by perfect
quiet, rest of patients, after confining them to bed for some weeks,
giving infusions of jaborandi and hypodermics of pilocarpin mur.
Puncture through the sclera at the points of detachment, allowing escape
of the fluid, has been advocated and performed by various well-known
authorities, but has not been successful enough to ensure its general
adoption. In rare cases spontaneous recovery has been observed, but I
cannot think that the case here presented belongs to this class, for the
original attack was in 1885, and was of such a degree that the vision of
the left eye was reduced to mere perception of light in the outer upper
field of vision. Under kali hyd. 3d, remarkable changes and rapid
improvement took place. A relapse followed on his return home, after a
couple of weeks. This again yielded to the same treatment, the vision of
the left eye regained what it had lost, and remained in this condition
for twelve years, when a severe general inflammation of the left eye
necessitated its removal. Then, in a couple of years, the vision of the
right eye became suddenly involved. Rapid improvement again followed the
same remedy, and it was restored to its original condition. Hence, I
cannot regard the improvement as either spontaneous or a coincidence,
but think I am justified in attributing it to the direct result of the
remedy given.
In the old school iodide of potash, in large and repeated doses, is a
very common remedy in all intraocular diseases, and the more obscure the
case, the more frequently and persistently it is used. Some cases are
benefited by it, others not. The points I wish to make are, first to
demonstrate the homeopathic possibilities of treatment in this serious
disease; that when you have a homeopathic kali hydriodicum case, kali
hyd. will probably help it, whether you give it in the third trituration
or in more appreciable doses. In the case here reported kali hyd. 3d was
certainly more potent than the 5‒grain doses used for one week and then
changed to the 3d trituration again.
CLINICAL CASES.
BY C. GURNEE FELLOWS, M. D., CHICAGO.
CASE I.—Early in 1899, Mrs. H. B., age forty-nine, presented herself
for an opinion as to her condition. She had been hoarse for three or
four weeks, and had a little inconvenience in swallowing, with no
cough, but she complained of ordinary sore throat such as would
follow an everyday cold. The main symptom was an excessive amount of
mucus from the nose, nasopharynx, and pharynx.
Public-domain text, read in full here on John Shaqi.
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