Relapsing traumatic bullous keratitis, with cases / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1911]
Catalogue details

Licence: In copyright

Credit: Relapsing traumatic bullous keratitis, with cases / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    EELAPSING TEAUMATIC BULLOUS KEEATIT^IS, . WITH CASES. BY G. E. DE SCHWEINITZ, A. M., M. D., , OP PHILADELPHIA. Paper read before the Ophthalmic Section of the College o! Physicians of Philadelphia, Oct. 1-,. 1901. . n . , . At longer or shorter periods after the apparent healiiig of trivial corneal abrasions, the affected eye may become the seat' of irritative phenomena quite out of proportion to the original injury. These phenomena may appear in the form of ' ■ ' 1. Eelapsing bullous (or vesicular) keratitis, originally de- scribed by Hansen Grut^ in 1872. 2. Recurring erosions of the corne.i, first recorded by Von \rlt in 1875 3. Eecidivating traumatic keratalgia,^' a name given to the af- fection in 1888 by Grandclemenf, who believed that it had not pre- viously been described. These manifestations represent analogous if not identical le- sions. In general terms the symptoms are the following: Some time, several weeks or several months, after an abrasion of the cornea by a finger nail, a twig, or similar object, the patient experiences, almost always on awakening in the morning, some difficulty in open- mg the eye, followed, when the lid is raised, by marked foreign-body- sensation, decided epiphora, flushing of the eyeball and sharp neu- ralgic pain. Each movement of the lid is painful, and the attack continues from one-half to several hours, when, usually by after- . noon, the symptoms subside and the eye is again apparently normal. These attacks may recur at short or long intervals, for weeks, months and even years. Careful examination diirihg the continuance of the irritative signs just described will Reveal ontiie co-i-nea a small ruptured vesicle, or a larger blister or bulla, or somc^finies simplv an erosion of the superficial epithelium without indications of vesicle or bulla. Occasionally the only lesion to be detected is the scar or macula caused by the original injury, without loss of epithelium. years several important communications rosa.^' affecfon has also been called finger nail keratitis and cicatrix dolo- ^Progres medical. Mai 12, 1888. and Sema.ne m^dicale. May 6, 1888.