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Irritation in the other Eye in the Thirty-seventh Year.— Dr. IIer.vann Knapp presetited an eyeball affected with cbo- roido-cyclitis, probably congenital, which he Costo Del Levitra 20 Mg had removed from a woman thirty-seven years of age. When the patient was six weeks old her parents noticed two Costo Del Levitra 20 Mg black patches in the upper ciliary region. She had never seen with that eye, but it had given her no trouble until three months before Dr. Kuapp saw ier, at which time the other eye became intolerant of light and weak in sight. The corneft of the blind eye was shrunken, there were two small nodules in the upper ciliary region, and the pupil was enlarged, irregular, and Costo Del Levitra 20 Mg completely immovable. Brownish masses projected into the vitreous, and were distin- guishable from tumors only by their ill-defined superficies. The vitreous was bloody and watery. The retina in the posterior half was thin, and so tirmly attached to the highly atrophied choroid that only Costo Del Levitra 20 Mg one blood-vessel betrayed its presence. The optic disc showed a marked glaucomatous excavation. After removal of the blind eye the section of the optic nerve was red- dish, the subvaginal space was enlarged, and its soft trabecular tissue reddish and abundant. Through the thickened and irregu- lar ciliary region a thick false membrane stretched unbroken transversely through the globe. Wlien it was incised, serous fluid escaped. Dr. Knapp remarked that this condition was not rare in old degenerative processes of the eyeball. The most remarkable feature in the case was the lighting up of sym- pathetic irritation by a congenitally diseased eye after a quie- tude of thirty-seven years, during which time the morbid pro- cess, though steadily advancing, had not caused any disturbance. Cerebral Haemorrhage. — Dr. Frank Fergubon presented a brain and spleen of a man in whom cerebral hasmorrhage, in- farction of the spleen, interstitial hepatitis, and chronic diffuse nephritis had been found. For two days the patient had com- plained of rheumatism, and on the date of admission had suf- fered from pain in the stomach, for the relief of which he had got some medicine at a drug-store. Soon afterward he was found unconscious, and the ambulance was sent for. The sur- geon in charge of the ambulance found Costo Del Levitra 20 Mg the patient comatose, the pupils little larger than a pin-head, the conjunotivaj insensi- tive, and the breathing slow and stertorous. • Under the circum- stances it was thought to be a case of opium poisoning, and the patient was treated accordingly. He died three hours after ad- mission. The pulse had been fofty to the minute. The autop- sy showed hypertrophy with dilatation of the left ventricle of the heart, vegetations on the aortic valves, and a small ulcer on the mitral valve. There was a large infarction in the spleen. There was a considerable hajmorrhage in one of the cerebral ventricles. Dr. H. C. CoE thought the case was interesting from a medi- co-legal aspect. He had once been called to a patient whose previous history he knew nothing about, and, after receiving a hypodermic injection of about one eighth of a grain of mor- phine, she became comatose, the pupils contracted, and she was apparently suffering from opium poisoning. She continued co- matose for about thirty-six hours and then died. It became evident, however, both to himself and to Dr. Janeway, who also saw her, that there were unmistakable signs of haemor- rhage into the pons. The administration of a small hypodermic of morphine and the occurrence of coma from cerebral hfenjor- rhage soon afterward was a mere coincidence. Dr. A. Jacobi tnought the pulse, being only forty to the minute in the case narrated by Dr. Ferguson, should have ex- cluded opium poisoning. Small pupils might be present in cere- bral biemorrhage, unemic poisoning, or a number of conditions. Dr. John C. Peters read a comrannication from Costo Del Levitra 20 Mg Dr. Mid- Di.ETON Goldsmith relating to gangrene, with an account of some original experiments. MEDICAL SOCIETY OF THE COUNTY OF KINGS. Meeting of April 20, 1886. The President, Dr. George R. Costo Del Levitra 20 Mg Fowler, in the Chair. Dr. 0. E. De La Veegne, Secretary. Mechanical Support in Uterine Displacements, with reference to the Management of certain Complications. — Dr. Walter B. Chase read a paper witli this title. [See p. 10.] Dr. Emery exhibited a pessary made of cork, in the form of a horse-shoe, devised by himself some years ago. He said that it was especially useful in holding in place prolapsed ovaries as well as the uterus. It was light and easily retained, and, in fact, was the only pessary that would answer the purpose in some cases. Dr. Rochester understood that the pessary was to lie on its back, with the convex surface toward the coccyx, and he in- quired if Dr. Emery had been successful in retaining the pes- saries in position for any length of time. Dr. Emkrt said that they had been retained in position four months. Dr. Bartley asked whetlier these' cork pessaries would be- come more otJensive than those of rubber. Costo Del Levitra 20 Mg It would seem to him Costo Del Levitra 20 Mg that, being porous, they would become offensive. Dr. Emery replied that they were prepared by a peculiar process. After the pessary had been cut out of cork, it was polished and the pores were all Costo Del Levitra 20 Mg filled. Tlie surfaces were all made smooth by very fine sand-paper, and, finally, the cork was coated with a preparation of flexible collodion — celluloidin, as it was called. Tliat was the second coat, and the third was of contractile collodion. Costo Del Levitra 20 Mg At the last there was a number of coats, all carefully rubbed down by hand. This could only be done by one exceedingly expert at the process. This pessary was not practicable for ordinary purposes. It was expensive ; but it was better in some Costo Del Levitra 20 Mg cases than other pessaries, and sometimes answered when nothing else would. It was as light as the cotton pessary, and of the requisite thickness to keep its place. The trouble which he had found with the cotton pessaries covered with gutta-percha, of which he was the originator, was that they were not readily retained in place. lie had prepared cot- ton pessaries, using some internal stiffening, but they were sot at all satisfactory. The President said that it would be interesting to the so- ciety if the doctor would describe the class of cases in which these cork pessaries were applicable. Dr. Emery replied that they were especially applicable in cases of prolapsus of the ovaries without retroflexion, and when the lateral ligaments were shortened and the bodies were carried forward with a sense of dragging. In those cases ordi- nary pessaries could not be endured, nor, in fact, any other. Dr. Rochester did not wish to make any invidious remarks, but he did not quite understand Dr. Emery's pessary. There did not seem to be any particular provision for supporting the ovaries upon either horn of the pessary. There would seem to be a natural tendency to fall back or to be carried forward. It had the advantage of being light; but so had the cotton pessary.