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

By J. L. C. Martin–Doyle (Auth.)

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Extra resources for A Synopsis of Ophthalmology

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T h e i m m e d i a t e effect of perforation on t h e ulcer is good a n d t h e lessening of t h e i n t r a - o c u l a r pressure p e r m i t s a freer flow of l y m p h t h r o u g h t h e corneal tissues, w i t h c o n s e q u e n t i m p r o v e m e n t in its n u t r i t i o n a n d powers of resistance. T h e ulcer m a y heal v e r y r a p i d l y . I t is, however, t h e r e m o t e effects of perforation t h a t m a k e it a n e x t r e m e l y serious complication. T h e s e effects m a y b e as follows :— i.

S m i t h & N e p h e w h a v e p r o d u c e d t h e s e in t h e form of MIMIMS in which t h e d r o p s , c o n t a i n e r , a n d a p p l i c a t o r u n i t give g u a r a n t e e d sterility a n d are discarded after use. T h e s e a r e a b o o n in t h e o u t - p a t i e n t d e p a r t m e n t a n d t h e general p r a c t i t i o n e r ' s surgery. T h e r a n g e available as MIMIMS include all m y d r i a t i c s , miotics, local anaesthetics, t h a t a r e likely t o b e r e q u i r e d .

T h e disease is usually u n i l a t e r a l , liable t o a t t a c k y o u n g people, a n d associated w i t h p a i n a n d lacrimation. Some e v e n t u a l visual defect is c o m m o n . It occurs in epidemic form in some h o t climates, especially in India. T R E A T M E N T . — A s for d e n d r i t i c ulcer, b u t t h e r e is n o need for c a u t e r i z a t i o n . 4 . H e r p e s O p h t h a l m i c u s . — T h i s is a disease of middle-aged or elderly people, a n d in a surprising n u m b e r of cases t h e r e is a h i s t o r y of c o n t a c t w i t h chicken-pox.

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