By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)
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Extra resources for A Synopsis of Ophthalmology
The impermeability of Descemet's membrane renders this impossible anyhow. ii. It is produced by the action of irritant toxins which cause an effusion of leucocytes as described above. Pigment has been found in some cases, proving the uveal origin of these cells. iii. In many hypopyon ulcer cases the invading organism is the pneumococcus or Ps. pyocyanea, the most serious of all eye infections. Treatment : i. Hypopyon is a very serious disease and should always be treated in hospital. ii. Since hypopyon is sterile, evacuation is unnecessary.
Gutt. atropin. 1 per cent should be instilled twice a day, as every corneal ulcer is a potential case of iris inflammation. c. Local antibiotics such as ung. chloramphenicol should be used. d. If the condition hangs fire, local steroid therapy combined with antibiotics may be tried. Steroid therapy must be used with caution and rather as a last resort since there is a risk of delaying fibrosis necessary for healing. e. A flap (not a close-fitting shade) should be worn to exclude the light, or the patient may wear dark glasses.
Some eventual visual defect is common. It occurs in epidemic form in some hot climates, especially in India. DISEASES O F THE CORNEA 37 T R E A T M E N T : As for dendritic ulcer, but there is no need for cauterization. 4. Herpes Ophthalmicus: This is a disease of middle-aged or elderly people, and in a surprising number of cases there is a history of contact with chicken-pox. One or more branches of the ophthalmic division of the fifth nerve are affected. The disease is unilateral and is accompanied by malaise, fever and much pain.
A Synopsis of Ophthalmology by J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)