Text-book of ophthalmology . rtly free (a), partly upon and within thecells, which are either pus cells (6) or cast-offepithelial cells (c). FlG- ESSEwT™ Go^fLEN Gonorrhceal conjunctivitis occurs both in adults and in new-born infants. The follow-ing description refers to the disease in adults; the disease as it occurs in thenew-born will be treated of under the head of ophthalmia neonatorum: [In adults t rue gonorrhceal conjunctivitis is not a very common affection. Accord-ing to White, it occurs but once in every seven or eight hundred cases of gonorrhoea. It must be observed that the microc
Text-book of ophthalmology . rtly free (a), partly upon and within thecells, which are either pus cells (6) or cast-offepithelial cells (c). FlG- ESSEwT™ Go^fLEN Gonorrhceal conjunctivitis occurs both in adults and in new-born infants. The follow-ing description refers to the disease in adults; the disease as it occurs in thenew-born will be treated of under the head of ophthalmia neonatorum: [In adults t rue gonorrhceal conjunctivitis is not a very common affection. Accord-ing to White, it occurs but once in every seven or eight hundred cases of gonorrhoea. It must be observed that the micrococcus catarrhalis and the meningococcus,which resemble the gonococcus in morphology and staining, and differ only in biologi-cal characters, can also cause an acute purulent, conjunctivitis. Since these organismscannot be differentiated in the smears, but only in cultures, a number of eases ofconjunctivitis have doubtless been classed as gonorrhceal, which were not. Cf. re-marks on Extragenital Gonorrhoea, page — i I rom 0Ai ? m, tnueui) Mid i»>, I flow. DISEASES OF THE CONJUNCTIVA 153: 135. Symptoms and Course.—When infection has taken place, thedisease breaks out after a certain period of incubation, the duration ofwhich varies, according to the intensity of the contagious action, from hours up to three days. The lids grow red, become hot, and are swollenwith oedema, generally to such an extent that the patient can no longeropen them, and even the physician often has trouble in separating themfar enough from each other to bring the cornea into view. The conjunctivaof the lids and of the retrotarsal fold is intensely reddened and greatlyswollen. The swelling is produced by an abundant cellular infiltration ofthe conjunctiva, which is consequently tense, and has a granular, unevensurface. This feature of acute blennorrhcea serves to distinguish it fromcatarrh, in which even in the severe cases the swelling is rather of a serousnature, and hence the conj
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