Le Maryland medical journal . b figure légère réaction pupillaire à la lumière dans l'œil aveugle, mais être sûr de ne pas Icould. La plupart des livres de texte sur l'obstétrique donner plus ou moins atten-tion d'ocular troubles prévalant dans le cadre d'puerperaleclampsia. Il y a certains symptômes, qui prodromic, joint torique se produire chez les femmes qui sont censés développer l'éclampsie, indiquent que la saisie est proche. Asthénopie rapide, diplopie, fading^fvision avec prompt rétablissement, mouvements convulsifs de l'œil, ou, comme dans le cas rapporté, l'action irrégulière des élèves, sont des symptômes d'avertissement d'amongthese. Bu

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Maryland medical journal . b-tained slight pupillary reaction to light in the blind fundus, but Icould not be sure of it. Most of the text-books upon obstetrics give more or less atten-tion to ocular disturbances occurring in connection with puerperaleclampsia. There are certain prodromic symptoms, which, occur-ring in women who are expected to develop eclampsia, indicate thatthe seizure is approaching. Rapid asthenopia, diplopia, fading^fvision with speedy recovery, convulsive movements of the eye, or, as in the case narrated, irregular action of the pupils, are amongthese warning symptoms. But the most interesting eye troublesare those of vision. They come usually after the seizures, and, asa rule, are in the form of complete loss of sight. I have seen onesuch case during the eclamptic attack—a woman, twenty-two yearsof age, in her first confinement, who had seven or eight convulsions.After the second her sight was gone. I saw her a few hours later;pupils were dilated ad maximum, inactive. There was not even. KIGHT EYE. LEFT EYE. POST-PUERPERAL liEMIANOPSIA—Woods. 485 light perception, arid the fundus of each eye was normal. She re-mained blind for four days, and then recovered. A hemiplegiapersisted three weeks. There have been two pregnancies since andno trouble. This is the usual type observed in this rare disease, eclamptic blindness. Hemianopsia, however, is almost unknown.In a fairly exhaustive search of literature by myself and friend. Dr.Johnston, one of our hospital staff, but one reference to it has beenfound. Dr. Williams furnished me with this. It is a report madeby Dr. G. Knapp. The following translation of Knapps observa-tion is from the Prager mcd. Wochenschrift, 1901, No. 21 : Compared to amaurosis, which is frequently observed in eclamp-sia, hemianopsia is a rare occurrence, which has thus far been de-scribed but twice. Knapps patient was a 27-year-old primapara, who was brought to the clinic in coma, and delivered by versionand extraction after

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