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By C. R. Agnbw, M. D., and David Webster, M. D. Me. C, aged iifty-two, a native of New York, but engaged for the last thirty years in navigating the Amazon, states that, when Viagra Cialis Levitra Cost Comparison a boy, he ran a nail into his right eye. The eye re- covered from the injury without much permanent impairment of vision. It gave him no special trouble until about a year and a half ago, when he observed a gradually increasing dimness of vision. About a month ago, while stooping in a rail-car, he again injured the eye by striking it against the corner of one of the seats. Since that the eye Viagra Cialis Levitra Cost Comparison has been very painful and without perception of light. He has now (May Viagra Cialis Levitra Cost Comparison 25, 1886) a somewhat highly injected eye- ball with considerably increased tension, and synechia anterior with closure of pupil. An extensive area of the cornea — nearly all of the lower half — is opaque, and far back, as seen when the eye is turned downward, there is a well-marked bulging of the solera which may be due to an intra-ocular tumor, or, on the other hand, mav be simi)lv a scleral staphyloma. R. V. = Viagra Cialis Levitra Cost Comparison fi. L.V.=|t. Mr. 0. said he had been rather a hard drinker until two years ago, since which he had drank only .sparingly of alcoholic beverages. He still nsed tobacco to excess. It was thought advisable to have the condition of his kidneys looked into. A twenty-four hours' specimen was tberefore'exaniined by Dr. George L. Peabody, who made the following report: " Many hyaline casts, a few granular casts, much pus, spe- cific gravity 1"016°, moderately acid, a large quantity of albu- min ; quantity of urine passed in twenty-four hours, 3 svj." On May 27th the eye was enucleated by Dr. Agnew, assisted by Dr. 11. L. CoUyer and Dr. Webster. The potient took ether as kindly and recovered as promptly as those who are without disease of the kidney. There was much more bleeding than usual following the enucleation, which may have been due to an atheromatous condition of the arteries so common in chronic interstitial nephritis. The enucleated eye was Viagra Cialis Levitra Cost Comparison examined by Dr. T. Mitchell Prud- den. Director of the Physiological and Pathological Laboratory of the Alumni Association of the College of Physicians and Sur- geons, and Pathologist to the Manhattan Eye and Ear Hospital. who made the following report : '■^ June S7, 1886. — Cornea shows irregular anterior epithe- lium, peri|)heral vascular areas, and an increase in the number of corneal cells. The cornea is closely bound posteriorly to the iris by an organized mass of Viagra Cialis Levitra Cost Comparison new tissue. "The iris is shortened and partially adherent to the anterior lens capsule and richly infiltrated with small spheroidal cells. " The ciliary body is moderately flattened, .and on one side is richly infiltrated with red blood-cells and pus. Pus-cells lie among the ciliary processes. The anterior segment of the lens is much degenerated, showing a series of ragged communicating cavities partially tilled with rounded hyaline bodies and granular matter. "The anterior portion of the retina is distorted and infil- trated with pus-cells. Posteriorly the retina is nearly normal. But there is a depression at the optic-nerve entrance which ex- tends back to the level of the external boundary of the sclera. " The Viagra Cialis Levitra Cost Comparison optic nerve, near the globe, is moderately infiltrated with small spheroidal cells. " The choroid is considerably hyperaeniio in places, harbors larger and smaller collections of pus-cells, while in still other parts it is considerably thinned as if by compression. In the hardened globe I did not detect any projecting portion of the sclera." The synechiiB anterior and posterior were probably due to the injury with the nail in childhood. The opacity of the cornea may have been partly due to the same cause and partly to fresh infiltration caused by Viagra Cialis Levitra Cost Comparison the injury in the rail- car. The eye was in the first stage of a panophthalmitis when enucleated, and it is probable that the patient was saved from a protracted period of suffering with, possibly, a sympathetic affection of the fellow-eye by [)rompt enucle- ation. When seen some three weeks later, Mr. C was wear- ing an artificial eye with satisfaction, and, having entirely abandoned stimulants and moderated his use of Viagra Cialis Levitra Cost Comparison tobacco, was contemplating a return to his duties on the Amazon. l5ooh Notices. Le langage interieur et les diverses formes th Vaphame. Par Gilbeut Ballet, Professeur agr^ge a la Faculty de M6decine de Paris, etc. Paris: F61is Alcan, 1886. Pp. xvi-174. This little book is a philosophical essay on language, mi- metic, oral, and written, and the parts played by the cerebral centers and the apparatuses of special sense in its exercise, to- gether with an analysis of the various disorders commonly em- July 24, 1880.] BOOK NOTICES. 101 braced under the term aphasia. It shows & wide range of read- ing on the part of the author, not only in medicine, but also in general literature, and gives evidence of careful and critical thought in its preparation. It is valuable both for the text, which is exceedingly well written, and for the numerous foot- note references, which form a comprehensive index of the most important contrihutious to our knowledge of the disorders of speech. Consultation- Chart of Viagra Cialis Levitra Cost Comparison the Eye Symptoms and Eye Complica- tions of General Diseases. Prepared by Henry G. Corn- well, M. D., Columbus, Oliio. Second Edition, revised and enlarged. Cincinnati : Robert Clarke & Co., 1883. This chart is intended as an office reference-chart for consul- tation, and in its preparation the author has adopted in the main the general arrangement followed by Forster in his mono- graph upon " The Relations between Diseases of the General System and of Individual Organs and Diseases of the Eye," Leip- sic, 1877. It will no doubt prove useful in facilitating a diag-