The relations of blepharitis ciliaris to ametropia / by D.B. St. John Roosa.

  • Roosa, D. B. St. John (Daniel Bennett St. John), 1838-1908.
Date:
[1878?]
Catalogue details

Licence: Public Domain Mark

Credit: The relations of blepharitis ciliaris to ametropia / by D.B. St. John Roosa. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    There is even a larger proportion of refractive error among them « tlian in the first series. This ametropia is also generally of such a M degree as to require correction. That such a correction will in 1 many cases assist in the cure of the blepharitis will hardly be denied. y It is a step far beyond this, I admit to say that the blepharitis was caused by the strain from an uncorrected error of refraction. I am not sure, judging from my own experiences in another direction, but | that we shall be obliged to modify our views as to how injurious is ' the strain of accommodation in hypermetropia ; but I think that we {• may still believe that in many cases uncorrected hypermetropia will produce all the consequences of continued hypermmia of the edges of the lids. Since the publication of my paper I have seen 40 cases of blepha- ritis ciliaris in jrrivate practice, as follows : CASE I.—Miss P., mt. 37. Is subject to styes ; always has had asthenopia ; now has blepharitis. R.E., |-|-; H., • y. = |-§. L.E., No improvement from glasses. Under atropia, H. R.E., = • L.E., -h gY O 90° ; V. = Glasses were pre- scribed, and two months after the patient writes that the glasses Irave I given her “ full satisfaction.” There is no account as to the styes or : blepliaritis. 1 CASE II.—yEt. 17. About ii months ago the patient observed that his distant vision was dim ; has had asthenopia and ble])haritis since then. M. = ; R.E., L.E., — ’ , CASE III.—-C. C., net. 13. Has had blepharitis and asthenopia for about a year. V. ~ Under atropia, R.E.. + Jy'’' 90° V. = L.E., 4-Jy® 90° V. =V. |-g-under atropia without glasses. ^ Four months after the patient was using his eyes with comfort. ^ CASE TV.—F. G., set. 28. Has asthenopia in the evening and blepharitis constantly. Under ophthalmoscope, eyes are H., rejects glasses. V. = -|[]-. Local treatment alone employed, and one month after the patient was better. CASE V.—C. H. G., set. 19. Has had blepharitis for 8 or 9 years, also asthenopia. V. = |-A. Under atropia, H. = CASE VI.—Mrs. B., set. 42. Has always suffered from astheno- pia. Has blepharitis, and there is a chalazion on the right upper lid. H. and jV There is also marked insufficiency of the in- terni. CASE VII.—P. T., set. 20. The eyelids have been inflamed for two years ; asthenopia in the evening; H. by opthalmoscope. Re-