A handbook of the diseases of the eye and their treatment / by Sir Henry R. Swanzy and Louis Werner.
- Swanzy, Henry R. (Henry Rosborough), 1843-1913
- Date:
- 1912
Licence: In copyright
Credit: A handbook of the diseases of the eye and their treatment / by Sir Henry R. Swanzy and Louis Werner. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
80/700 (page 52)
![[C6A1>. itt. j unctiva is very apt to be caused in this way. Protargol and argyrol also cause staining. Should the surgeon be unable to see the patient daily, astringent and antiseptic eye-drops are very beneficial, and indeed often effect a cure. Sulphate of zinc (gr. ij to the 3]), with or without Tinct. °P]i» 5b amm (gr- iv to 5]), tannic acid (gr. v to viij to 5]) are those which are most commonly used. They may be combined with boracic acid in saturated solution, corrosive sublimate (1—5000), or oxycyanate of mercury (1—2000). Acetate of lead (1 or gr. ij to 5j) can also be prescribed, provided the cornea be intact; other- wise deposits of lead are liable to form in it. A weak boracic acid ointment should be applied along the margins of the lids at bedtime. It prevents the adhesion of the lids in the morning, which is not only unpleasant to the patient, but also prevents free drainage of the secretion during sleep. Diplobacillary or Angular Conjunctivitis.-—This form of in- flammation requires a description apart, not only because it pre- sents a definite clinical picture, but also because it readily yields to a particular line of treatment. It presents the appearance of a subacute or chronic conjunctivitis, the congestion being limited to the palpebral conjunctiva, more especially of the lower lid, and to the caruncle. The secretion is very scanty, and makes its appear- ance most commonly round the inner canthus, as a slight greyish- white collecti<m. but still the lids are often stuck together in the mornings. The most characteristic sign, and one which has given rise to the name Angular, is a peculiar moist hyperajmia, with superficial excoriation, of the skin at the margin of the lids, which usuallv surrounds the canthi, especially the inner canthus, although the whole margin of the lids may be affected by it. In very mild cases this condition of the skin may be absent. The subjective symptoms consist in sensations of heat, pricking, and itching, and are always much worse, in the evening. Corneal affections are not common, but occasionally small superficial marginal ulcers occur : and. less frequently still, severe central ulcers with hypopyon (see chap. v.). The disease is chiefly met with in adults, but it also occurs in children, in whom it may even cause blepharitis. We have often seen it too as a complication of trachoma in the later stages. Cause.—The exciting cause is the Diplobacillus of Morax and](https://iiif.wellcomecollection.org/image/b21512589_0080.jp2/full/800%2C/0/default.jpg)
