Licence: Public Domain Mark
Credit: Ophthalmia nodosa / by J.B. Lawford. 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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![Reprinted from Voi. XV of the ‘ Ophthalmological Society’s Transactions’] Ophthalmia nodosa. By J. B. Lawford. In presenting a communication to the Society on this subject I propose to read notes of a case which has been under my care, and which forms the text of my paper, and afterwards to place before you, to the best of my ability, a word-picture of the disease in its clinical aspects. Sub- sequently, if time permits, I shall endeavour to discuss briefly some of the many knotty points in the pathology and pathogenesis of this peculiar and little-known affection. Notes of case.—W. H. C—, mt. 16, a schoolboy, came to see me on September 27th, 1894. Two weeks previously, while in the country (South Wales), a caterpillar had been thrown at him by a playmate, and bad struck his right eye. He picked up the caterpillar aud examined it, and subsequently the skin of his hand became irritable and slightly sore, and a number of small white spots appeared. These and the smarting and itching soon dis- appeared. The right eye became at once painful and photophobic, and soon afterwards congested. The inflammatory sym- ptoms continued and increased, except the pain, which dis- appeared in a few days. The lad was seen by a medical man, who advised that the eye should be protected by dark goggles, and gave a lotion for local application. September 27th.—Right eye: slight oedema of lids; severe photophobia and much lacrimatiou on exposure of the eye to light. General congestion. Cornea not well seen on account of photophobia. Pupil contracted but circular. Upper lid could not be everted. No foreign body detected in lower cul-de-sac, No conjunctival](https://iiif.wellcomecollection.org/image/b22381016_0003.jp2/full/800%2C/0/default.jpg)