A Synopsis of Ophthalmology by J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)

By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)

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One of the authors (C. ) has used alphachymotrypsin drops in resistant cases with encouraging results, but some American observers state that in experimental lesions in rabbits this treatment is harmful. More work remains to be done in this field. g. Cryotherapy is a recent treatment that promises a reasonable proportion of success. 3. Superficial Punctate Keratitis: An infrequent form of virus infection. It commences as a painful acute conjunctivitis, during the course of which groups of raised grey dots appear towards the centre of the cornea.

6. 7. 8. SYPHILIS. GONORRHOEA. FOCAL SEPSIS. TUBERCULOSIS. DIABETES. ANKYLOSING SPONDYLITIS. RHEUMATISM. BEHCET'S SYNDROME. 9. ). 10. ). 11. ULCERATIVE COLITIS. 50 A SYNOPSIS O F OPHTHALMOLOGY An endeavour should be made to exclude all these factors in any given case, but it must be admitted that in many cases all investigations made to exclude the above conditions have proved negative. SIGNS A N D SYMPTOMS: Severe pain in and around the eye, with photophobia and lacrimation. The conjunctiva is congested and ciliary flush is present.

Vii. If these measures fail and if the tension is raised, paracentesis or Saemisch's section should be considered. b. ECTATic SCAR: Sometimes an ulcer may increase greatly in depth and during the process of healing the cornea may become so thin that it is unable to stand the normal intra-ocular pressure, and a permanent bulge results. Rarely the ulcer extends, involving the whole corneal thickness except Descemet's membrane (which is very resistant to infection). In such a case a watery bleb called a keratocele (or descemetocele) appears on the cornea.

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