. A treatise on diseases of the eye . ng epiphora. Hypertrophyof the tarsal conjunctiva of the lower lid frecjuently results, which tendsto increase the ectropion. This form is bilateral. Treatment.—Massage of the lids and, in some cases, treatment ofthe conjunctiva of the lower lid by applications of solutions of nitrateof silver, 1 to 5 per cent., applied every second day, may do much to ameliorate the condition. InFig. 125 cases wlicre considerable hyper- trophy of the tarsal conjunctiva atthe margin of the lid is present,the solid stick of the nitrate ofsilver may be thoroughly appliedto t
. A treatise on diseases of the eye . ng epiphora. Hypertrophyof the tarsal conjunctiva of the lower lid frecjuently results, which tendsto increase the ectropion. This form is bilateral. Treatment.—Massage of the lids and, in some cases, treatment ofthe conjunctiva of the lower lid by applications of solutions of nitrateof silver, 1 to 5 per cent., applied every second day, may do much to ameliorate the condition. InFig. 125 cases wlicre considerable hyper- trophy of the tarsal conjunctiva atthe margin of the lid is present,the solid stick of the nitrate ofsilver may be thoroughly appliedto the hypertrophied application may be repeatedin Ave or six days if desirable. Incases not remedied by these pro-cedures, operation may be resortedto, but it should be carefully con-sidered before being attempted. 4. Cicatricial Ectropion.—Thismay be partial or complete. Cica-tricial ectropion which results from blepharitis marginalis (see page 166),associated with hypertrophy of the tarsal conjunctiva of the lower lid,. Cicatricial ectropion. LAGOPHTHALMOS 191 is partial, and affects the lower lid only. It is ordinarily varieties of cicatricial ectropion follow destruction of some portionor the whole of the skin of the lids from burns, ulcers, operative pro-cedures, or injuries; also from subcutaneous cicatricial tissue, as thatfollowing periostitis or caries of the orbital margin. The exposure of theconjunctiva to the atmosphere and particles of dust causes it to becomethickened, uneven, and red. Sometimes it takes on a cutaneous appear-ance. The exposure of the eyeball in cases of extreme completeectropion causes desiccation and often ulceration of the cornea. Treatment.—Cicatricial ectropion is seldom remedied except by oper-ation. (See chapter on Operations.) Ankyloblepharon.—Ankyloblepharon is the condition present whenthe margins of the lids are adherent. It may be partial or condition is sometimes congenital (see page 157),
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