. A treatise on diseases of the eye . )ain in the eyelids, which feel hot and rough. There isevidence of pronounced irritation, lachrymation is increased, and in afew days after the discomfort is first experienced a scanty mucopurulentdischarge is present; the lachrymation continues. The ocular conjunctivabecomes injectetl, and even in the relatively early part of this stage thecornea may give evidence of involvement. On everting the lids theconjunctiva is found to be deeply injected and thickened, and, if theinflamed condition has lasted two to four weeks, granules may be seen Fig. 135. Trach
. A treatise on diseases of the eye . )ain in the eyelids, which feel hot and rough. There isevidence of pronounced irritation, lachrymation is increased, and in afew days after the discomfort is first experienced a scanty mucopurulentdischarge is present; the lachrymation continues. The ocular conjunctivabecomes injectetl, and even in the relatively early part of this stage thecornea may give evidence of involvement. On everting the lids theconjunctiva is found to be deeply injected and thickened, and, if theinflamed condition has lasted two to four weeks, granules may be seen Fig. 135. on the tarsal conjunctiva, and possibly in the retrotarsal folds. Oftenthe hypertrophy of the conjunctiva at the onset is sufficient to maskthe presence of the granules, and they become visible only after theswelling has subsided. The pre-auricular glands are enlarged. Whenoccurring in residential schools, asylums, reformatories, and in families,the disease spreads rapidly unless isolation is practised. (c) This phase is fortunately rare; it is the most severe, usuallyaffecting young and middle-aged adults. The onset is quite and scratching of the lids are complained of. The lids becomeswollen moderately. There is lachrymation, and in a day or two muco-purulent and sanguinolent discharge. IIy])ertrophy of the conjunctivais present after a few days; at the end of ten days or two weeks the con-junctiva is greatly thickened, the entire fornix presenting a plaque of TRACHOMA 210 lymphoid tissue. The ocular conjunctiva becomes deeply injected, andit is not unusual
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Keywords: ., bookcentury1900, bookdecade1910, booksubjecteyediseases, bookyear
