Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz.

  • Haab O. (Otto), 1850-1931.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    113/312 (page 101)
    and the conjuiictivie may he edematous, es])eeially if the purulent foeus is situated near the outer canthus. This is easily found by ])alpating the inflamed lid, as it is ex- tremely painful; sometimes it eorresponds with a small yellow pustule on the margin of the lid. It marks the opening of the duet of the inflamed Meibomian gland or glands. If the patient can bear the discomforts of the procedure, it is sometimes possible to insj)cct the inner surface of the lid and note the accumulated pus shining through the conjunctiva. For the small abscess which forms in a short time is more likely to rupture through the conjunctiva than through the skin. ^Adt^l the bursting of the abscess the pain and discomfort cease and the swelling subsides. Both the internal and the external hordeolum, but especially the latter, may recur for weeks or even months, first in one and then in another of the four palpebral mar- gins. The process is fo.stered by seborrhea and chronic conjunctival catarrh ; but the first fundamental condition is the presence of pyogenic, microorganisms. I once had occasion to observe how the introduction into the con- junctival sac of a virulent culture of staphylococcus aureus caused the occurrence of hordeola. There is every justification for classifying these two forms of gland-inflammation, as well as chalazion (to be described), under the head of acne, as Horner has sug- gested. Neither variety of hordeolum produces permanent in- jury, and the treatment is quite simple. Active })oul- ticing with linseed-meal is recommended, both to alleviate the suffering and to shorten the j)rocess by bringing the abscess to the point of spontaneous evacuation or incision. [Repeatedly applied coni])resses soaked in hot carbolized .solution or in hot water containing 33 per cent, of fluid ex- tract of hamamelis is ])referable.—Ed.] The knife .should b(! used as soon as a di.stinct purulent focus is .seen through the conjunctiva, the incision being made from within, per- pendicular to the margin.