Krukenberg's Spindle in a Cataract Case.

knife). In order to gain space for the operative procedures I first did a sub-mucous resection of the septum. The operation was performed under morphia and scopolamine with local applications of cocaine paste. At the operation no sign of pus or secretion was seen. The walls of the ethmoid cells and sphenoid sinuses were thin. After-history: August 13 operation, August 19 nasal condition good. V.O.D. without lenses 6/15 4 (i.e., saw two letters out of six on 6/15 line), central scotoma for green, but the red and blue scotoma was no longer present. The appearance of disc was the same as on August 11,. August 26: V.O.D. = 6/15 3. Upper and lower nasal edge of disc not distinct, pink in colour. Lower temporal edge distinct and white. Scotoma for colours no longer present. September 4: Cloudiness on nasal side of disc disappeared, outline of blood-vessels quite, clear, edge of disc more distinct. September 16: V.O.D.=6/10-2; V.O.S. 6/10. Edge of disc clearly defined except that the demarcation between disc and fundus at upper and nasal side not clear, but as the disc on the opposite side presented the same appearance, the patient was discharged as cured. The disease existed one month before the operation and cleared up one month after the operation. During the last two weeks of after-treatment Hyd. c. cret. 4 grs. with pot. iod. 20 grs. was daily administered (i.e., two weeks after operation), but before any drugs were administered the vision had improved from fingers at two metres to 6/15 -4 and the colour scotoma had disappeared.