The commoner diseases of the eye : how to detect and how to treat them . -plied from without, in the case of the latter fromchronic maladies of the lid, such as blepharitis,trachoma, and such diseases of the nasal cavityas chronic rhinitis, nasal polypi, caries and syphi-litic periostitis of the lachrymal bones. More-over the inflammatory changes in both often endin organic stricture. The majority of cases ofdacryocystitis occur in women of middle it is sometimes met with in infants andyoung children, especially in those that exhibita syphilitic or strumous taint. Symptoms.—The main sy
The commoner diseases of the eye : how to detect and how to treat them . -plied from without, in the case of the latter fromchronic maladies of the lid, such as blepharitis,trachoma, and such diseases of the nasal cavityas chronic rhinitis, nasal polypi, caries and syphi-litic periostitis of the lachrymal bones. More-over the inflammatory changes in both often endin organic stricture. The majority of cases ofdacryocystitis occur in women of middle it is sometimes met with in infants andyoung children, especially in those that exhibita syphilitic or strumous taint. Symptoms.—The main symptom is epiphora,increased by exposure to wind, dust and is always a hypersecretion of mucusmixed with some pus. l;or a time these ab- DISEASES OF THE LACHRYMAL APPARATUS 273 normal secretions are carried along the nasalduct into the nose, but after a while the mucouslining of the canaliculi, sac, and nasal duct be-come involved; swelling- and true hypertrophyof the lining membrane set in; distension of thesac takes place (forming the so-called mucocele). Mucocele, with Dilated Lachrymal Sac. and the muco-pus regurgitates through one orboth puncta into the conjunctival sac, and maybe seen as flocculi floating in the tear drops. Diagnosis.—In all such cases, firm pressuremade over the region of the sac at the inner can-thus will expel the pent up muco-pus. Even be-fore the enlargement of the sac becomes so pro-nounced as to show itself as a decided swelling 374 COMMONER DISEASES OF THE EVE in this region, this procedure will cause the muco-purulent fluid to issue from one or both settles the point, and proves the existence ofan obstruction in or below the lachrymal sac. In the early stages of the disease the obstruc-tion may be merely a swelling of the infectedmucous membrane but, later on, when erosionsoccur in the mucous lining of the duct or whenlocal ulceration eats into the submucosa, the cica-tricial tissue resulting from the healing of theseles
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Keywords: ., bookcentury1900, bookdecade1900, bookidcommonerdise, bookyear1904
