Text-book of ophthalmology . capsulated, we call it an abscess of the vitreous or a hyalitis; ifthe pus breaks through we call the condition panophthalmitis. These terms are not quite proper if we have regard to the anatomical findings, andit would accord best with the latter if we should call the inflammation of the inner coatsof the eyes that is produced by infection an endophthalmitis septica. 362. Changes in Sympathetic Inflammation.—A special variety of exog-enous infection is that which underlies sympathetic inflammation (page 429).While in the ordinary cases of infection the exudation o
Text-book of ophthalmology . capsulated, we call it an abscess of the vitreous or a hyalitis; ifthe pus breaks through we call the condition panophthalmitis. These terms are not quite proper if we have regard to the anatomical findings, andit would accord best with the latter if we should call the inflammation of the inner coatsof the eyes that is produced by infection an endophthalmitis septica. 362. Changes in Sympathetic Inflammation.—A special variety of exog-enous infection is that which underlies sympathetic inflammation (page 429).While in the ordinary cases of infection the exudation on the free surfaceof the coats of the eye plays the chief part, here the main thing is an infil-tration of the tissue itself, which, moreover, is of a peculiar kind. In the exciting4 eye (that is the one which was injured and is the first affected) wefind the uvea distended with densely crowded lymphocytes and plasma cells. In mostcases there lie in the midst of this uniform infiltration focal collections of large (epithe-. Fio. 181.—Inflammation Producing Sympathetic Ophthalmia. Magnified girl twenty years of age had a detachment of the retina, which developed in the right eye with-out any known cause. The eye gradually became blind but it was not till three years later that itwas attacked suddenly by a very severe and painful inflammation, which, after four weeks, went overto the left eye. The latter presented the symptoms of a severe sympathetic irido-cyclitis and alsobecame blind in spite of the immediate enucleation of the right eye. This was one of those rare casesin which a sarcoma, beginning in the chorioid, first produces blindness through detachment of the retinaand afterwards becomes necrotic, and thus causes a severe inflammation in the eye. The verticalsection of the eye shows the iris greatly thickened by an excessively dense infiltration. The pigmentthat is visible in it lies partly in the very numerous giant cells. The iris everywhere merges withoutany
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