When the pterygium is of considerable size, extending over the cornea,
the only remedy is excision. The apex of the web is laid hold of and
pulled outwards by forceps or a hook, and the whole diseased part is
then carefully dissected off with scissors, the incisions commencing
at the apex, and being carried on to the base. The wound gradually
contracts; and though an opaque cicatrix must form on the corneal
surface, the speck is of much less dimensions than the space formerly
occupied by the pterygium. If the web be thin and not exceedingly
vascular, it may be sufficient to make a semicircular section of it
transversely, by means of a hook and scissors, between its base and
the margin of the cornea; its growth is thereby arrested, and there
is a probable chance of its beginning to diminish, and ultimately
disappearing. When it is small, and so situated as to cause no
impairment of vision, it is prudent and good practice not to interfere
with it at all.
DISEASES OF THE EYEBALL are numerous, and various in their nature. Some
are acute, others chronic; and their attack is either sudden, or slow
and insidious. Most of them are attended with pain and other annoying
symptoms, and some cause loss of vision. Some are cured by internal
means; others require surgical operations; and the cure is either
complete and permanent, or palliative and temporary. Some destroy the
organ, and others, still more malignant, cause extinction of life. All
require much attention and care.
_Of Ophthalmia, or Inflammation of the Eye._—The symptoms and
appearances of ophthalmia vary much according to the particular
texture or textures affected. They require to be minutely attended
to, that the treatment may be varied in such a way as to obviate any
bad consequences which may be threatened. The great importance of the
organ, and the danger to its structure and functions which is likely to
occur from any other termination of the affection than resolution, must
never be lost sight of.
We shall first treat of inflammation of the more external parts of
the ball, an affection generally less dangerous than inflammation of
the interior, but at the same time of more frequent occurrence, and
produced by slighter causes.
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