The practice of surgery . has been said that amendment, ifnot cure, has followed perseverance in the useof purgatives and emetics ;3 but how the bene-ficial result is so obtained, it is not easy to un- Conical or say. When the apex is opaque, temporary amelioration of sight may be secured, by transferring thepupil to a point of the circumference which is as yet clear. Over-distension of the Cornea. Simple over-distension of the cornea, by an unwonted accumulationof the aqueous humor, produces both dimness and prominence. If tIn-state be the concomitant of an existing inflammato


The practice of surgery . has been said that amendment, ifnot cure, has followed perseverance in the useof purgatives and emetics ;3 but how the bene-ficial result is so obtained, it is not easy to un- Conical or say. When the apex is opaque, temporary amelioration of sight may be secured, by transferring thepupil to a point of the circumference which is as yet clear. Over-distension of the Cornea. Simple over-distension of the cornea, by an unwonted accumulationof the aqueous humor, produces both dimness and prominence. If tIn-state be the concomitant of an existing inflammatory process pervadingthe eye, as corneitis, by subjugation of this the cornea will sometimesbe restored. If, on the other hand, the morbid state is not so connected,but of a passive and indolent nature, antiphlogistics will do no good,and are likely to do harm. From the internal use of the iodide of 1 Vide Wharton Joness Manual, p. 180, el teq. 2 Littcll, p. 188. 3 Dublin Journal of Medical Science, January 1844, p. 357. 9. 130 STAPHYLOMA OF THE SCLEROTIC. potassium, or—failing this—from a cautiously given alterative courseof mercury, more benefit is to be expected; a diminution being thusmade in the aqueous humor, on whose plethora the over-distension de-pends. Repeated evacuation of the aqueous humor, by means of aneedle, is often of service. Affections of the Sclerotic Coat. Sclerotitis. This may occur as part of a general inflammatory process, howeverexcited. Not unfrequently, it exists per se, and then almost uniformlyis of rheumatic origin; exposure to cold, probably, having proved theexciting cause. It is most frequent in the adult, and about the middleperiod of life, and is often limited to one eye. Pain is complained of,of a dull, aching kind; increased by pressure, and by movement of theglobe; partly resident in the eye, but mainly in the forehead and tem-ple ; and marked exacerbation occurs at night. At the commencementof the disease, the eye feels hot and dry; bu


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