Inflammation of the conjunctiva occurs in many individuals during very
warm and sunny weather. At such a period, the eye is often excited
by reflection of intense light from the surface of the earth; and is
irritated by sudden exposure to a degree of light to which it has not
been previously accustomed. Different directions of the sun’s rays,
and different kinds of light, seem to exert different influences
on the organ. The rays are most hurtful when they do not fall in a
perpendicular direction on the eye, but slopingly or horizontally.
Strong light from the moon, and light reflected from scarlet, are also
particularly injurious. Undue exertion of the eye weakens it, and
renders it prone to become inflamed. The eyes of infants are often
violently inflamed, in consequence of imprudent exposure to light
before they have been gradually accustomed to its stimulus. Again,
inflammation is caused by imprudent exposure of the eye directly to
cold, or by exposure of other parts causing suppression of their
discharges, whether natural or not. Inflammation of the conjunctiva
often follows suppression, however occasioned, of the menstrual or
hemorrhoidal discharges, as also suppression of discharges from
the urethra, from the Schneiderian membrane, or from behind the
ears. Irritations in the neighbouring parts, as in the mouth during
dentition, may also excite the disease. Immediate irritations, however,
are the most frequent cause, as the lodgement of extraneous bodies on
the surface of the organ—particles of sand, dust, snuff, pepper, or
gunpowder, minute insects, loose or inverted eyelashes. By the presence
of such substances, the eye is often kept in a very irritated state for
a long period. The most violent conjunctival inflammation is sometimes
produced by contact of gonorrhœal matter through carelessness.
Occasionally metastasis of inflammation takes place from one eye to
another; so that a person may be seen one day with severe inflammation
of the right, and on the following day with a similar affection of
the left, and the right entirely free from disease. Another cause,
sometimes met with, of inflammatory action in the conjunctiva, is
the lodgement of large foreign bodies in the orbit, with or without
destruction of the eye; as splinters of wood, straws, rusty iron nails,
sharp portions of stone, &c., penetrating the globe of the eye, or
parts in the immediate neighbourhood. Upon removal of the cause, the
redness, discharge of tears, pain, &c., sometimes subside without
inflammation having been established, the vessels of the part regaining
their contractility; but if the cause is continued for any considerable
time the effects do not rapidly abate. Wounds and other injuries of the
organ are generally followed by inflammation. But a simple clean wound
or puncture made with a fine instrument, as in many operations, and in
a favourable constitution, frequently produces little or no excitement
of the part.
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