_Staphyloma_ has been already alluded to as an occasional consequence
of purulent ophthalmia in children. The cornea is thickened, prominent,
and opaque; and in most cases vision is either much impaired or
entirely lost. The prominence varies in different cases, being
sometimes very little elevated beyond the natural state of the part,
while in other instances it protrudes from between the eyelids. After
having attained a certain size it often becomes stationary; but very
frequently it continues to enlarge gradually. When the prominence is
large, much inconvenience arises from the eyelids not being allowed to
close; and the eye, being thereby deprived of its natural covering, is
extremely liable to become inflamed from external irritation. When one
eye is affected with staphyloma, the other not unfrequently becomes
similarly diseased.
Dropsy of the anterior chamber, or _Hydrophthalmia_, occasionally takes
place in persons of weak constitutions. The aqueous humour is either
secreted in greater abundance than it usually is, or absorption is
diminished. The cornea gradually accommodates itself to the increase
of the fluid behind, and becomes wider and more prominent, but retains
its transparency; in looking at the eye, the anterior chamber is seen
evidently enlarged, and occasionally the aqueous humour is of a turbid
appearance. There is little or no pain in the eyeball, but the patient
complains of an annoying sense of fulness and tension in the part. In
consequence of the vitreous humour also accumulating, the whole organ
is ultimately enlarged considerably, and its motions are thereby much
impeded. At first, vision of near objects is impaired, whilst the
patient sees very distinctly those placed at a distance; ultimately
sight is entirely lost.
_Exophthalmia_, or protrusion of the eye, attends the preceding
disease, and is also a consequence of various other morbid actions
in the globe and its neighbourhood, especially from the pressure of
tumours in the orbit. The chronic enlargement of the bulb is noticed
more fully in the succeeding chapters.
Public-domain text, read in full here on John Shaqi.
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