REPORT OF A CASE
History and Preoperative Course.—S. H., a man aged 29, referred by Dr. Joseph Edeiken, was first seen on March 26, 1934. He complained of blurred vision and sharp retrobulbar pain which had been present for two weeks. The pain was especially marked on lateral movement of the eyes and on sneezing or coughing.
The ophthalmic examination showed that the pupils were regular and equal and responded promptly to all the tests for normal reflexes. The media were clear. The optic disks were normal in color and well outlined, and the eyegrounds appeared entirely healthy. Visual acuity was 10/200 in the right and 20/40 in the left eye. There was a bitemporal hemianopic paracentral scotoma extending above and below the horizontal line with a moderate bitemporal peripheral contraction (fig. 1). A provisional diagnosis of retrobulbar neuritis probably secondary to sinusitis, or of a pituitary lesion,