Transactions . itary extract, strychnin, etc. Aftermore than a year he thinks he began to improve underhomeopathic treatment, and he now has had one-fifth normalvision for several years. Vision is now as from the startworse in his right eye. Examination of our patient shows pupils equal and re- Bruner: Optic Atrophy ivith x-Ray Findings. 165 sponsive to light and all movements of the eyes normal.Vision equals fingers eccentrically in each eye. Ophthalmoscopic examination shows the discs slightlyedematous on the nasal side, with all edges hazy, especiallythe inner, pale in the temporal half, ve
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Transactions . itary extract, strychnin, etc. Aftermore than a year he thinks he began to improve underhomeopathic treatment, and he now has had one-fifth normalvision for several years. Vision is now as from the startworse in his right eye. Examination of our patient shows pupils equal and re- Bruner: Optic Atrophy ivith x-Ray Findings. 165 sponsive to light and all movements of the eyes normal.Vision equals fingers eccentrically in each eye. Ophthalmoscopic examination shows the discs slightlyedematous on the nasal side, with all edges hazy, especiallythe inner, pale in the temporal half, veins rather full, inother words a mild or low grade optic neuritis startingevidently as a retrobulbar neuritis with beginning atrophy.The fields show a central absolute scotoma in each eye withslight concentric contraction of the form fields and completeinability to recognize red and green (see Chart II). Hisknee-jerks are normal or possibly slightly diminished, stationis good, no tremor, teeth are good. cU.-^jr. Chart II. His family physician could find nothing abnormal in hisgeneral condition, the urinary analysis was normal, theWassermann reaction was absolutely negative. In orderthat he might have a more thorough examination of his gen-eral condition he was referred to Dr. Hoover, who put him inLakeside Hospital for several days for observation. Hemade a lumbar puncture and the examination of the fluidwas negative in all respects. It showed no increased pres-sure and gave no evidence of lues. Other than a rapid pulsewithout any cardiac enlargement, suggesting probable lackof cardiac inhibition, he could find nothing abnormal in hiscondition. He inclines to the opinion, however, that theman probably has a brain tumor, though he acknowledges 166 Brunek: Optic Atrophy with x-Ray Findings. that there are no focal or localizing symptoms whatever andbases his opinion upon the appearance of the optic nerves. The patient did not complain of catarrh, but there wasslight hypertrophy o