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THE PATHOLOGICAL ANATOMY OF RETINAL DEGENERATION WITH MULTIPLE ANEURYSMS

1921; BMJ; Volume: 5; Issue: 10 Linguagem: Inglês

10.1136/bjo.5.10.448

1468-2079

Sumito MIYASHITA, Y. Nisyake,

Neurology and Historical Studies

a patient on whom I operated for this more than twelve years ago.Previously to the operation he had headache without intermission for seven years, dating from typhoid, and he has had no headache since.But these operations are extremely tricky, and in higher heterophoria it is rather a responsibility to convert a comitant defect into a non-comitant one by operation.Here again, however, nature comes to the rescue and gradually restores more or less comitancy if a muscle is only tenderly dealt with by operation, on the principle of " reversion to organism," as we might call it.The most successful surgeon is the one -who understands nature best.You may perhaps wonder that I have said nothing about the evolution of the oculo-motor apparatus, but, Gentlemen, when I look at your intelligent faces, and the soul in your eyes, I cannot bring myself to believe that you are descended from maggots, and spiders, and pigs.The whole voice of nature, as I hear it, is against that fantastic theory.Nature is conservative and not progressive.She reverts to type as soon as the reason for departure from it disappears.When I see a piano, I do not at once jump to the conclusion that because the keys are in progressive series, therefore they must have evolved out of one another!I thank you, Gentlemen, for your kind attention, and I have now the pleasure of laying this imperfect lecture as a little memorial wreath upon the tomb of our friend and benefactor, Robert Walter Doyne.