A Manual of Clinical Ophthalmology - Tapa blanda

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ... is infiltrated with lymph-cells, and on its surface are minute facets of ulceration. These pathological changes are usually limited to the anterior layers of the cornea, do not often involve the structures underlying Bowman's membrane, and affect primarily the cornea underneath the upper lid. Pain, intolerance of light, lacrymation, swelling, and injection of the conjunctival and ciliary vessels, are the usual symptoms. Prognosis is, as a rule, favorable, notwithstanding the long duration of the cause, but the recurrent and extensive destruction of the epithelium, and infiltration, lead to some permanent impairment of vision, and, in some cases, to conical cornea, and to corneal staphyloma. Treatment is directed to the granular conjunctivitis, which is always the causes of pannus. Atropine and hot-water applications, in conjunction with the treatment of the granular lids, are useful. Non-Vascular Superficial Keratitis. Herpes is the name given to the appearance, in groups on the cornea, of minute round vesicles in an eye already affected by catarrhal conjunctivitis. Calomel dusted into the conjunctival sac is the only treatment required. Ophthalmic Herpes Zoster is the formation, during an attack of frontal herpes, of a number of small vesicles on the cornea. These vesicles rupture, form ulcers, and leave opacities. There is incomplete anaesthesia of the cornea. The treatment is by atropine, pressure bandage, and by the internal administration of quinine, arsenic, and bismuth. Resorption Ulcer is a superficial, non-vascular loss ot corneal substance without severe symptoms. The pericorneal injection is not marked. The ulcer forms in an eye previously healthy, or in one which is already the seat of corneal or conjunctival disease. The...