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December 1949

Le fond d'oeil des hypertendus et des cyanoses.

Arch Intern Med (Chic). 1949;84(6):1021. doi:10.1001/archinte.1949.00230060178015

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The author, who is a cardiologist, presents in black and white 232 photographs of the fundus of the eye, each picture accompanied with brief notes regarding the clinical condition of the patient and pointing out the noteworthy changes in the retina and retinal vessels. He used a Nordenson camera at exposures of one tenth to one twenty fifth of a second, with about the success that others have had with this somewhat unsatisfactory instrument, some of his photographs being good and others only fair.

In the first chapter he describes and illustrates the normal fundus, and in the second he presents the generally recognized vascular and retinal changes of hypertensive disease. Some would take exception to his emphasis on tortuosity of retinal vessels as evidence of hypertension. He stresses the significance of local spasms of the retinal arterioles and notes that they may persist for many months, and he rightly

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