Clinical studies on diseases of the eye including those of the conjunctiva, cornea, sclerotic, iris, and ciliary body / by Ferdinand Ritter von Arlt.

  • Carl Ferdinand von Arlt
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Clinical studies on diseases of the eye including those of the conjunctiva, cornea, sclerotic, iris, and ciliary body / by Ferdinand Ritter von Arlt. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    latter being exposed by a slight pressure with the lids against the globe. In the great majority of cases a single application of a three or five per cent, infusion is sufficient to produce a violent jequirity ophthalmia, and if the trachoma is not cured a second and third application is made, but with an interval of at least two or three weeks between them. Great care should be exercised in selecting cases for jequirity treatment. In recent cases with purulent discharge it is contra- indicated. The dangers of jequirity ophthalmia are due to two causes: first, application of strong infusions in too rapid succession, and, second, application to an eye already discharging.—Trans.] The author has the same opinion of the cauterization of the pannous cornea either with the solid or mitigated nitrate of silver, which he has tried a few times in cases of firm exudations (i to 2 mm. in thickness). The procedures which may be indicated by the malformation of the lids (as distichiasis, entropium or ectropium) will be con- sidered with the Diseases of the Lids. This much may be said, however, that where there is no danger in delay, the operation should be postponed until either reabsorption or transformation of the exudation into connective tissue has advanced so far that no considerable contraction is to be apprehended after the opera- tion ; and that if a decrease of the lachrymal secretion, by a manifest diminution of the conjunctival sac, is already observable (beginning Xerophthalmus) the condition will only be made worse by a lid operation. In case of far advanced amyloid degen- eration of the tarsus its extirpation is the only remedy. IV. Diphtheritic Conjunctivitis. Diphtheritic Conjunctivitis differs from acute conjunctival blennorrhoea, with the highest grade of which it has a great simi- larity, in that the exudation upon and into the tissues rapidly congeals, and after a short duration, about eight days, breaks up by suppuration, and the infiltrated portion of the conjunctiva, with the subconjunctival connective tissue, sloughs to a greater or less extent, so that the eye is not only threatened with corneal destruction, but also with a more or less extensive atrophy of the