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A Synopsis of Ophthalmology by J. L. C. Martin–Doyle (Auth.)

By J. L. C. Martin–Doyle (Auth.)

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C l a s s i f i c a t i o n . — D i s e a s e s of t h e cornea c a n b e c o n v e n i e n t l y g r o u p e d u n d e r t h e following h e a d i n g s : (1) U l c e r a t i o n s ; (2) Infiltrations ; (3) Virus diseases ; (4) D e g e n e r a t i o n s ; ( 5 ) D y s t r o p h i e s ; (6) Congenital a b n o r m a l i t i e s ; (7) W o u n d s ; (8) B u r n s . I. U L C E R A T I O N S 1. S i m p l e C o r n e a l U l c e r s a r e b y far t h e m o s t c o m m o n of all corneal diseases a n d a r e a l m o s t a l w a y s of exogenous origin.

Iridocyclitis, w i t h all its a t t e n d a n t risks, especially t h a t of increased tension. b. Anaesthetic cornea m a y persist for m o n t h s , i m p a i r i n g its n u t r i t i o n a n d r e n d e r i n g it liable t o further d a m a g e b y m i n u t e foreign bodies, abrasions, e t c . c. Corneal scarring m a y be severe a n d p e r m a n e n t . P A T H O L O G Y . — T h e h e a d q u a r t e r s of t h i s disease is in t h e Gasserian ganglion itself. T h e virus s p r e a d s d o w n w a r d s from t h e Gasserian ganglion along one or m o r e of t h e b r a n c h e s of t h e o p h t h a l m i c division of t h e fifth n e r v e .

T R E A T M E N T . — L o c a l steroid t h e r a p y is w o r t h a t r i a l . 3 . D i s k i f o r m K e r a t i t i s . — T h i s is a c e n t r a ] grey infiltration in t h e m i d d l e layers of t h e corneal s t r o m a . I t often h a s a ' t a r g e t ' a p p e a r a n c e w i t h a v e r y dense ' bull's-eye '. Somet i m e s it is associated w i t h a small h y p o p y o n . I t r u n s a chronic course w i t h o u t v e r y m u c h i r r i t a t i o n , b u t i t a l w a y s leaves a p e r m a n e n t o p a c i t y w i t h c o r r e s p o n d i n g visual i m p a i r m e n t .

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