By J. L. C. Martin-Doyle (Auth.)
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Extra resources for A Synopsis of Ophthalmology
INFILTRATIONS I t must be realized t h a t the distinction between infiltrations and ulcerations is somewhat artificial, because it is not always possible t o say where the one begins and the other ends. I n the following diseases the main sign found is a deep infiltration, but ulceration m a y be present as well. 1. A c n e R o s a c e a . — M a n y patients w i t h this complaint d e v e l o p an infiltrating keratitis w i t h much lacrimation and mucopurulent conjunctival discharge. Grey-coloured isolated patches o f infiltration occur.
H o m a t r o p i n e is similar in action but transitory in effect and causes o n l y partial paralysis of accommodation. 2. P a r a s y m p a t h o m i m e t i c D r u g s . — T h i s group acts as parasympathetic stimulants, thus causing miosis. T h e y act in one o f t w o w a y s : — a. —These drugs stimulate the myoneural junctions t h e r e b y increasing the effect o f acetylcholine. T h e characteristic e x a m p l e o f this t y p e is pilocarpine. I t s action is not v e r y long—about three hours.
Movement of the lids causes these m o v a b l e shreds t o become elongated while still remaining attached at one end. A fully developed filament resembles a minute tadpole w i t h the tail attached and the head free. T h e condition is found in subsiding corneal oedema and in any condition which has produced a d r y i n g or desquamation o f the cornea. I t can be intensely irritating. T R E A T M E N T . — L o c a l r e m o v a l o f the filaments wherever possible and carbolization o f their bases o f attachment is recommended.
A Synopsis of Ophthalmology by J. L. C. Martin-Doyle (Auth.)