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Article
November 1937

BILATERAL ATROPHY OF THE OPTIC NERVE IN PERIARTERITIS NODOSAA MICROSCOPIC STUDY

Arch Ophthalmol. 1937;18(5):767-773. doi:10.1001/archopht.1937.00850110083005
Abstract

In 1929, we1 described characteristic necrotizing lesions of the media and proliferation of the intima of the choroidal arteries in a case of periarteritis nodosa. Christeller2 had mentioned arterial changes in the choroid, while Müller3 had described characteristic changes in the retinal arterioles many years before. In the year our case was reported, other instances were described by Böck4 and von Herrenschwand.5 Böck's patient showed typical lesions in the extra-ocular muscles, and in the ciliary vessels at the entrance of the optic nerve and in their course through the sclera to the suprachoroidea. Several ocular muscles were paretic, and there was reduction in the pupillary reaction to light. The choroid was normal. In von Herrenschwand's case the lesion affected the long posterior ciliary arteries. The central retinal artery was diseased at its entrance into the optic nerve and in the region of the

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