Abstract
History. —A man, aged 32, consulted me, Jan. 19, 1922, because of protrusion of the right eye. There was no history or general sign of syphilis. The patient had had epileptic attacks early in life. He had always suffered from bad nasal catarrh, and two months previously had elsewhere had an operation intranasally for frontal sinus empyema. Three weeks before I saw him, the right eyelids swelled and the globe protruded, but after a discharge of pus from the nose, this subsided. Examination. —The patient was well nourished and was above the medium height. He was drowsy and slow mentally. The temperature was 99.8. The right eye protruded, and the upper lid was markedly swollen. The conjunctiva was slightly infected. The cornea and media were clear. There was slight blurring of the margins of the optic nerve. The retinal veins were tortuous and swollen. Pupillary reaction to light was slightly
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