Lectures on diseases of the eye / by Charles Bell Taylor.

  • Bell Taylor
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on diseases of the eye / by Charles Bell Taylor. Source: Wellcome Collection.

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    had a cold in its eyes, and so far as I could learn no special anxiety was felt as to the result, when suddenly it flashed upon the mother that her boy might lose his sight ! and acting on the impulse of the moment, though late iu the day, unfit to travel, and a hundred and fifty miles away—she started to the station and caught the train for Nottingham. I succeeded in arresting the discharge in a few days, but both eyes were lost from sloughing and ulceration of the cornea, when she started on her journey? Gentlemen, this is a deplorable state of things, it ought not to be, and I can assure you that the various societies interested in the prevention of blindness look to you general practitioners, who attend midwifery and who have so much in your power, to save us from further reproach on the score of blindness from purulent ophthalmia. With regard to treatment, mycologists assure us that the virulence of the disease is due to the ravages of a gonococcus discovered by Neisser in 1879, which, like an elephant in a field of maize, battens on the cylindrical epithelium of the palbebral conjunc- tiva. It appears that the columnar epithelium of the bulbar portion of this membrane affords no nutriment to this micro- scopic specimen of the Perm Naturas, however that may be, it is an important clinical precept that our remedies must be sufficiently strong to disinfect the conjunctiva and that they must be applied to the inside of the everted lids, at least once in twenty-four hours. I have found chloride of zinc an excel- lent antiseptic myself, but the remedy par excellence, is the nitrate of silver, which may be used in the form of mitigated stick, or two per cent, solution.* Meanwhile the matter must be worked out from underneath the lids—which must be prevented * If the remedies must be entrusted to the friends, the nurse may drop into the eye a solution of nitrate of silver, 2 or 3 grains to the ounce, thrice daUy.
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