Szemészet, 1910 (47. évfolyam, 1-4. szám)

1910-05-08 / 1. szám

107

The Fate of Sufferers from Sarcoma of the

Uveal Tract.

by Dr. John de Barlay, Assistant in the University ophthalmological Hospital.

Numerous articles treating of the prognosis of sarcoma of the uveal tract have appeared: the statements made in the same do not agree, a fact due to a great extent to the difficulty of collecting data. In his large monograph,1 Fuchs states that he found only 6% of the cases were cured; acting on the suggestion of Leber, Freudenthal1 2 employed the records of the clinical hospital of Gottingen and discovered that 37‘5 % of the cases ended in complete cure; Emil de Grósz3 worked up the records of 20 years of the ophthalmological hospital attached to the Budapest University and, from the data thus acquired established a proportion of cures of 37 %. E. Pawell,4 using the data of the clinical hospital of Halle, gives 51%; Lawford and Treacher Collins5 give 25%; Schmidt-Bimpler6 gives 54%; and Hirschberg7 56% as the proportion of cases cured.

From the records relating hereto of the Budapest University ophthalmological hospital (1895 — close of 1908). I have collected the following data. I addressed questions to 67 patients, of whom 40 answered while 27 did not. Of the forty answers, 5 were of no use whatever: 50 our conclusions must be drawn from 35 cases. Ten cases, where two years had not passed since the enucleation, must be left out of account. Consequently we have in reality only 25 cases to help us in our deductions. Of these, twelve died of undoubted metastasis: while one patient died of another complaint. Consequently the fatal cases represent 48% and the cures 52 % of the whole number:

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In the cases of those patients who died, the eye was removed once in the first stage, five times in the second and six times in the third stage.

As the above data prove quite dearly, there can be no doubt that, in whatever stage of this disease the eye be removed, the life of the

1 „Das Sarcom deb Uvealtractus“. Wien, 1882.

2 Archiv für Ophth. XXXVII. pp. 137—84 (1891).

3 „Az uvea sarkomáiáról 29 eset alapján.“ Orvosi Hetilap. Szemészet. Xo. 4—5 (1895).

4 Archiv für Ophth. XLIX. pp. 71—124 (1900).

5 Ophth. Hosp. Rep. XIII. 2. (1891).

6 Berlin, kiin. therapeut. Wochenschrift No. 25 (1904).

7 Berlin, kiin. Wochenschrift No. 4—5 (1904). ,