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.

    156/312 (page 128)
    Plate 15. Spring-conjunctivitis.—a. Patient is a robust aud otherwise healthy farmer, 24 years old. In winter and during a protracted spell of cool weather in summer the disease practically disappeare; moderate amount of secretion. The conjunctiva of the lower lid is covered with a milky film ; that of the upper is normal. The tissues about the corneal margin are hypertrophied aud encroach to the extent of from 1 to 2 mm. on the membrane. b aud c. Clerk, aged 19 years. For the last three years the inflamma- tion has regularly made its appearance in May, and lasted the entire sum- mer. There are no follicular granulations to he seen anywhere. The right upper lid shows the tessellated appearance of the hypertrophied tissues; on the left lower lid the milky opacity is illustrated. d. In this patient (male, aged 14 years) the characteristic yellowish in- jection is clearly seen to the temporal side of the cornea, merging into the marginal hypertrophy, which is also well marked. times mistaken for trachoma {q. v.) and marginal eczema of the cornea (marginal keratitis'). The latter can always be recognized by the ensuing ulceration in the cornea. When the disease occurs in ehlerly pcojilc, as it occasion- ally does, some difficidty may be e.xjierienced in distin- gni.shing it from an incipient cancer. Even a micro.scopic examination of the hyperpla.stic ti.ssue about the limbus does not always clear np the diagnosis, since the .same abnormal preponderance of epithelial elements and ten- dency to send out long villous processes into the subjacent connective ti.ssue (which al.so shows marked hypertrophy) are seen in spring-conjunctivitis. Neither granulations nor follicle-formation can be detected with the micro.scope. Prognosis.—Two factors combine to render the ]H’og- nosis unfavorable: Our inability to control the chief ex- (itins: cau.se, the weather, and the want of a specific remedy. Treatment.—Although all kinds of remedies, new and old, have been suggested, the treatment is still essentially palliative. A 1 per cent, lead ointment may be used, pro- viding there is no corneal ulceration. Good results have been obtained in some cases by inunctions and massage with 1-2 per cent, yellow mercuric-oxid ointment, or