. A treatise on diseases of the eye . sation to the adult isthat of a dry substanceon the conjunctiva. Onepatient spoke of it as hisdry patch. Slight irri-tation of the conjunctiva is noticeable about the margin of the children and in adults a condition of hcinerdlopid obtains. lhe dis-ease is not a local one. In a number of autopsies that have been madethe bacillus has been found in the parenchyma of the liver, spleen,kidneys, and pancreas. Duration.—In infants this disease lasts until death, which ordinarilyoccurs in a few weeks or months. In adults the secretion persists formonths,
. A treatise on diseases of the eye . sation to the adult isthat of a dry substanceon the conjunctiva. Onepatient spoke of it as hisdry patch. Slight irri-tation of the conjunctiva is noticeable about the margin of the children and in adults a condition of hcinerdlopid obtains. lhe dis-ease is not a local one. In a number of autopsies that have been madethe bacillus has been found in the parenchyma of the liver, spleen,kidneys, and pancreas. Duration.—In infants this disease lasts until death, which ordinarilyoccurs in a few weeks or months. In adults the secretion persists formonths, and in many cases for years. Complications.—In infants the cornea is deprived of nutrition andsloughs, producing the condition known as keratomalacia. Infantsunder one year of age, with few exceptions, die. In children and adultsthe cornea may become involved, the patches which produce the exu-dation gradually advancing from the margin of the cornea, or appearingin small islets slowly encroaching on the pupillary area. Years may. Xerosis bacillus. (Graefe and .Saeiniscli.) 244 THE CONJUNCTIVA pass before the pupillarv area is completely covered. Fortunately in thegreater number of adults and children the cornea does not becomeinvolved. Diaqnosis.—The condition cannot be mistaken for anythinfi; elseafter the clinical picture is known to the surgeon. Treaimcni.—In very young infants treatment is of no avail. In childrenand adults the local treatment consists in tiie use of antiseptic lotions andwashes, and of ointments, such as bichloride vaseline (1 to 5000); theuse of powders, calomel, iodoform, aristol, the powders to be dustedon the affected area after the secretion has been scraped off. Thermalcauterization is efficient and may l)e emjjloyed on small areas. Unlessthe local treatment is supplemented by a nutritious and varied diet,a cure cannot be expected. Suitable tonic remedies must supplementthe diet. Staphylococcus Group.—Staphylococcus pyogenes aureus, Staphy
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Keywords: ., bookcentury1900, bookdecade1910, booksubjecteyediseases, bookyear
