Medical Ophthalmology

Cover Medical Ophthalmology
Medical Ophthalmology
Robert Foster Moore
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Changes exactly^ corresponding with the foregoing also take place in the arteries, till ultimately they may be one-half or less of their normal diameter (Fig. 51).
The optic papilla, at first swollen and cedematous, with haemorrhages and exudates on it or in its vicinity, later under- goes atrophy and becomes pale with hazy edges ; it has the appearance of a secondary optic atrophy (Fig. 51).
154 RENAL RET1NITIS The earliest of the patches of exudate to disappear are the " cotton wool " patches
... ; the more solid -looking exudates are more permanent (Fig. 53, p. 157).
When subsidence is well advanced there will be found scattered irregularly over the central regions a very fine powdery white residue, which has no regular arrangement even though a star figure was previously present.
This fine powdery white residue is very characteristic of a subsided retinitis (Fig. 51).
Amongst it there may be a few more solid-looking spots or areas, perhaps with cholesterin crystals in them ; these persist for a long time, as also do a few small scattered haemorrhages, but if the patient survives, all the exudates and haemorrhages disappear completely.


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