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.

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    is materially assisted by favorable external conditions, especially pure air, if })Ossible in a inonntainons region. Among local remedies silver nitrate in 2 per cent, solu- tion, and coj)i)er snlj)hate, in the form of a stick or a crvstal (the end of which has been rounded off by rub- bing it on a wet cloth), or in the form of an ointment, are' recommended. Both remedies are usually ajiplied once a ^day; in severe inflammation with active secretion silver nitrate is imperatively demanded. (The greater the secre- tion the more energetically the nitrate shonld be applied.) After the discharge has ceased, treatment with copper- sulphate crystal is to be begun and continued for months or even years. The conjunctiva is carefully gone over with the crystal as often as once a day at first, later at longer intervals, until the swelling has entirely sub- sided and the mucous membrane appears white and smooth. Later on the patient may be directed to paint his eyes himself with an amylo-glycerin salve containing ^—1 per cent, cop])er snlphate. Some patients even learn to use the crystal. [Excellent applications which may be used at home are tannin and glycerin (5 per cent.), or boro- glycerid (20 per cent.).—Ed.] If a relapse occurs, with renewed secretion, the silver-nitrate solution is again resorted to, unless the irritation is too great, in which case a weak sublimate solution may be substituted. A few drops are instilled into the conjunctival sac and wet compresses applied to allay the inflammation. The granulations are best removed by mechanical means: By picking them out one by one Avith a needle and expressing their contents between the thumb-nails, or by squeezing them out with Knapp’s roller-forceps. Tliey may also be destroyed with the galvanocautery. Kein- ing’s method of brushing the granulations daily with a 1 : 2000 sublimate solution combines mechanical removal Avith medicinal action. Excision of the diseased retro- tarsal folds is apt to be folloAved by grave cicatricial changes in the conjunctiA'a and is not to be recommended.