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Article
November 1935

RESULTS OF CERVICAL SYMPATHECTOMY IN PIGMENTARY DEGENERATION OF THE RETINA

Author Affiliations

BALTIMORE
From the Wilmer Ophthalmological Institute, Johns Hopkins University

Arch Ophthalmol. 1935;14(5):699-714. doi:10.1001/archopht.1935.00840110011001
Abstract

Operative intervention by resection of the cervical sympathetic chain has been advocated as a therapeutic procedure for pigmentary degeneration of the retina. However, it has been regarded by ophthalmologists with a great deal of skepticism. It is impossible to evaluate with finality the worth of such procedures until more case reports are available. It is remarkable that there are relatively so few reports in the literature after the brilliant successes recorded by Royle.1 Royle introduced his operation of ramisection in the belief that vascular disease served as a basis for the development of pigmentary degeneration of the retina and that by abolishing the tonic constrictor action of the vasoconstrictor fibers which reach the eye via the sympathetic chain the blood supply to the eye would be increased. Permanent benefit could be expected only if the vessels to the eye were constricted because of exaggerated vasomotor tonus,

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