A Synopsis of Ophthalmology by J. L. C. Martin-Doyle (Auth.)

By J. L. C. Martin-Doyle (Auth.)

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I f the g r o w t h is m o d e r a t e l y d e v e l o p e d the eyeball should be r e m o v e d . 3. I n a d v a n c e d cases nothing but r e m o v a l o f the eyeball and exenteration o f the orbit should b e undertaken. CONJUNCTIVAL WOUNDS I n the absence o f infection conjunctival wounds heal rapidly. I t is a safe rule t o suture all e x c e p t v e r y minute wounds w i t h fine silk. F o r e i g n bodies should be r e m o v e d and d i r t y or j a g g e d edges t r i m m e d and a p p r o x i m a t e d as in the case o f skin wounds ; g u t t .

A. Calamine lotion or similar application for the skin lesion. b. Physeptone or other analgesics m a y be necessary and morphine m a y sometimes be required for the relief o f severe pain. c. Short-wave diathermy is often helpful. d. A t r o p i n e must be used t o prevent synechiae. e. I n cases w i t h marked corneal anaesthesia, tarsorraphy should be performed. / . A n t i b i o t i c treatment is ineffective. g. Steroid treatment is indicated in e v e n t o f uveal complications. IV. DEGENERATIONS T h e r e are six principal degenerative conditions : ( 1 ) B a n d o p a c i t y ; ( 2 ) Arcus senilis ; ( 3 ) Arcus juvenilis ; ( 4 ) Marginal a t r o p h y ; ( 5 ) Pannus degenerativus ; ( 6 ) Fanconi's syndrome ; ( 7 ) Saltzmann's nodular degeneration.

I t has already been g i v e n a detailed description under D I S E A S E S O F T H E C O N J U N C T I V A , but when phlyctenular disease affects the cornea the following clinical types can b e seen : — a. F A S C I C U L A R U L C E R , which starts at the limbus and sweeps across the cornea, leaving a leash o f vessels in its train. b. I N F I L T R A T I N G P H L Y C T E N when the deep corneal layers become i n v o l v e d . c. M U L T I P L E P H L Y C T E N S , v e r y small in size and always around the limbus.

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A Synopsis of Ophthalmology by J. L. C. Martin-Doyle (Auth.)
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