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February 1952


Author Affiliations

384 Post St., San Francisco 8; 516 Sutter St., San Francisco 2; University of California Hospital, San Francisco 22

AMA Arch Ophthalmol. 1952;47(2):248-249. doi:10.1001/archopht.1952.01700030255008

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A case of bilateral inferior altitudinal anopsia is presented because of its infrequency and its sudden onset following a major operation. Anoxia of the superior lip of the calcarine fissure bilaterally is suggested as the probable cause.

L. R. L., a business man aged 45, white, was referred by Dr. Seymour Farber because of poor vision following a second-stage thoracoplasty three and one-half months earlier.

There was a past history of syphilis in 1931, which was treated for one year with arsphenamine and "cured," He also gave a history of being on a starvation diet in a Japanese prison camp from 1942 to 1945.

Pulmonary tuberculosis was diagnosed in 1949, and, after a year in the Hassler Health Home, he was transferred to the San Francisco Hospital for surgical treatment.

On Aug. 16, 1950, a first-stage thoracoplasty was performed, with the use of nitrous oxideether anesthesia. The operation took four

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