A Synopsis of Ophthalmology - download pdf or read online

By J. L. C. Martin–Doyle (Auth.)

ISBN-10: 0723603014

ISBN-13: 9780723603016

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T h e a d v a n c e d stage of herpes febrilis of t h e cornea. T h e vesicles h a v e b r o k e n d o w n a n d t i n y ulcers a p p e a r . These are so small t h a t in t h e early stages t h e y a r e difficult t o d e t e c t . T h e y s p r e a d dendritically, a n d on staining give a characteristic a p p e a r a n c e , b r a n c h i n g in a n y or all directions. I t is a v e r y painful condition w i t h m u c h l a c r i m a t i o n a n d p h o t o p h o b i a , a n d in t h e absence of p r o p e r t r e a t m e n t t e n d s t o last for weeks or even m o n t h s , a n d t o p r o d u c e dense scarring.

A n t i b i o t i c t r e a t m e n t is ineffective. g. Steroid t r e a t m e n t is i n d i c a t e d in e v e n t of u v e a l complications. IV. DEGENERATIONS T h e r e a r e six principal d e g e n e r a t i v e conditions : ( 1 ) B a n d o p a c i t y ; ( 2 ) A r c u s senilis ; ( 3 ) A r c u s juvenilis ; ( 4 ) Marginal a t r o p h y ; (5) P a n n u s d e g e n e r a t i v u s ; (6) F a n c o n i ' s s y n d r o m e ; (7) S a l t z m a n n ' s n o d u l a r d e g e n e r a t i o n . 1. B a n d O p a c i t y .

4 (1959), 1, 1028, s u m s u p t h e s i t u a t i o n in t h e s e w o r d s : Infections carried t o t h e eye from d r o p s u s e d in o p h t h a l m i c o u t - p a t i e n t d e p a r t m e n t s is a chronic p r o b l e m w i t h a c u t e recrudescences '. All d r o p s used should be sterile, especially w h e n t h e r e is a b r e a k in e p i t h e l i u m d u e t o t r a u m a , ulceration, e t c . U n f o r t u n a t e l y t h i s ideal is n o t easy t o a t t a i n . I t is simple e n o u g h t o get a perfectly sterile b o t t l e of d r o p s b u t w i t h t h e r e m o v a l of t h e s t o p p e r a n d t h e use of a d r o p p e r only t h e first dose is really sterile.

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


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