On eye infections from malarial poisoning / by Charles J. Kipp.

  • Charles J. Kipp
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: On eye infections from malarial poisoning / by Charles J. Kipp. 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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    time sends out club-shaped, slightly raised, grayish off- shoots from its sides. In some of my cases the ulcer crept across the entire cornea, and in a few others in which several ulcers appeared simultaneously on different parts of the cornea, nearly the whole epithelial layer was eventually destroyed. As a rule the ulcer shows no marked tendency to increase in depth, and its floor and edges are usually of bluish-grey tint, although in the very painful cases one or more small densely opaque points can be found at some part of the ulcer. The middle and inner layers of the cornea generally remain transparent throughout, but in neglected or maltreated cases an extensive star-shaped opacity of a slightly yel- lowish-gray tint is sometimes developed in the inner layers of the central part of the cornea. A hypopion is but rarely seen even in the severest cases, and spontaneous perfora- tion of the cornea did not occur in any of my cases. More or less hyperaemia of the iris is not unfrequently present. Circumcorneal injection was only rarely a-bsent, but in no case was there much swelling of the conjunctiva. A decrease of the tension of the eye-ball, or a diminution of the sensibility of the cornea could not be demonstrated in any of the cases. The development and growth of the ulcer was always accompanied by very severe pain in and around the eye, more especially along the course of the supraorbital nerve, and by photophobia and lachryma- tion. The process of repair was commonly initiated by the extension of blood vessels from the limbus conjunc- tivae towards the ulcer, and was in all cases extremely slow, two to four months being generally required for its completion. Of the various local remedies which I have used in this affection, none have afforded greater relief than tiic pres- sure bandage, warm fomentations and the sulphate of