The Commoner Diseases of the Eye How to Detect And How to Treat Them

Cover The Commoner Diseases of the Eye How to Detect And How to Treat Them
The Commoner Diseases of the Eye How to Detect And How to Treat Them
Casey a Casey Albert Wood
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Although contracture and spasm of almost every member of the oculo-muscular system have been observed in hysteria, many of these are dif- ferentiated from true paresis and insufficiencies with some difficulty. A few, however, are so evidently functional disorders, and their detection is so comparatively easy, that we do not hesitate to refer to them as hysterical stigmata with which every one should be acquainted.
OCULAR SIGNS IN CERTAIN DISEASES 413 Even before the days of modern Ophthal- molo
...gy it was noticed that spasm of the orbicular muscles was frequently associated with amau- rosis and amblyopia, although there was no ap- parent structural disease of the ocular apparatus. Such a state of affairs should make us suspect, and further examine the patient for, hysteria. All such forms of spasm of the orbicularis — zwnk- ing or blinking, tonic, clonic, transitory or per- manent, unilateral or bilateral — are probably hys- teric. If central or peripheral excitants com- petent to produce the spasm can be excluded and if other hysterical stigmata be present the possi- bility becomes a certainty.

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