Transactions of the eighth International Ophthalmological Congress held in Edinburgh, August 1894 / edited with the assistance of Drs. Parent, Hess, and Fergus by George A. Berry.

Date:: 1894

Credit: Transactions of the eighth International Ophthalmological Congress held in Edinburgh, August 1894 / edited with the assistance of Drs. Parent, Hess, and Fergus by George A. Berry. 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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$II m'a mfiine propose de C-e f ^^^^^ point de vue de \l r^partitLn drtm^o^ ^ '''''' ^« ^z^'::i!:£ S^J: ^^-^^ ' sous-terre n'ont pas le tn ch6me tnn<^i« f P'-^^^^'^t leur vie travaiilent a ia lumike du Tour^^ ,T ^V'''' ^ P^y« a 307„ de trachoniateux C ambes o. i vf^^ b.en ventil<5s fournissent de 20 ont aussi le trachonie • c^est oue Zt ZZ Ta ^ «oleil, pr6dispos^e au trach6me cS o.l S ^es somites, race particuli^remen Germains. ''''^'''''^^ « est que les mineurs sont des Celtes, les tisseurs des a eueTn'^pSanTrfc^^^^^^^^^ ^ f^'^^' ^e I'heureuse id^e qu'il une action^^ept^ilr dtrs']: ra'cSo^rdtr^tiv^e'^^^^^^^^^^ ^ '''' mi?robitdi?et:r'' ^^'''-^^ ^^ea is that Granular Conjunctivitis is a local thetScTofTrich^^^^^^^ down a rule which should dominate all the tube culS'lnVSTon''.?^^^^^ therapeutics^of luVs, a/ocalised, superficial anSreatmenr' ' ^'^^^^^^ ^^^'^ ^^^^^^'^^ ^^'^ <^ourse We ^jill place aside the management of granular conjunctivitis by caustics although they have their indications, rende^great serviis/raSdTySirS mflammatory phenomena, and in 80 per cent of cases give good Jesu S We wdl have only m view the severe cases which have resisferfof zZnths aS oth^r treatment, which represent about 20 per cent. For these cases I think surgical interference is necessary. By my method of curetting ard brushiT rf ave ye!rT No ott: ft^' ' Tt ^'^ '''''''^'^ -^^s, months^'anl even space of time ^'^^^^^^ 8^^^^^ «ch good results, in such a short In very severe and inveterate cases of trachoma, before operatin.r, I cauterise with nitrate of silver for several days if there is secretion, or, if an iS ense vlscu- hrt'Hnr'J.P^^'^Pr'^^'^Vr'^ ''P^-^*^ '^^PP^- I reniarS thatn treatmeShorter''^''''' operation is less intense, and the consecutive This way of attenuating the virulence of the infectious element before opera- tion appears to me most important, and if attended to carefuUy, patients often may require but a few scarifications with the curette. I need not go into the details of my method of operating, it has already been done by Dr. Fourrey, one of my pupils, in his Thesis (These de Paris, 1892, btemheil, (^diteur). ' ' I do not pretend that curetting and brushing is the only good method ; all are good m the hands of those who know how to carefully destroy every part of the infected tissue. _ j j j t Therefore, I conclude, that well-applied surgical treatment in trachoma will be a great progress in the therapeutics of this dreadful disease. M. Pilz, Sattler, and others who have fought for the surgical cure of trachoma, deserve our great gratitude.$