_Abrasion_ of the conjunctival covering of the cornea is produced by
accident, or follows incited action of the vessels. The abraded surface
either ulcerates, or contracts and heals kindly, with or without
opacity of the part. Breach of surface in the cornea,—whether an ulcer,
an abrasion, or a raw surface, caused by the giving way of a pustule,
or of a small abscess,—is constantly liable to irritation, on account
of not being protected by mucous membrane and mucous discharge: even
the contact of the tears irritates, and keeps up inflammatory action in
the membranes. When the ulcerative process ceases, lymph is effused,
and a grayish halo forms around the sore; the ash colour of the surface
of the sore disappears, and is succeeded by florid granulations,
extremely minute, which fill up the cavity; cicatrisation follows
in due time, with subsidence of all the symptoms and appearances of
inflammation. There remains, however, an opaque speck of a pearly
hue corresponding to the sore, but occupying rather less space. When
the cornea is perforated by ulceration, the sore sometimes shows no
disposition to heal, becoming a fistulous aperture through which the
aqueous humour is from time to time discharged. By this condition of
parts vision is much impaired, the cornea being always more or less
flaccid. Touching the fistulous opening with the nitrate of silver,
reduced by scraping to a very fine point, will often promote a healthy
action in the tissue, and effect adhesion of its sides.
Public-domain text, read in full here on John Shaqi.
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