and promiscuous use of towels and sponges must not be allowed.
In _Purulent Ophthalmia of Children_, antiphlogistic means must
be pursued, if the patient is seen during the first stage of the
disease; but children do not bear depletion well. After the discharge
is established, the surface of the eye must be kept free of matter,
by frequent injection of a bland, tepid fluid; and stimulating or
astringent collyria should be applied three or four times a-day.
When _Inflammation of the Cornea_ is established, it is exceedingly
difficult to procure contraction of the vessels. Active antiphlogistic
measures must be employed in the acute stage; and in the chronic,
stimulant applications are to be had recourse to. As, however,
corneitis is frequently kept up in its chronic form, from deficient
constitutional power in strumous habits, strict attention must be paid
to the diet and secretions of the patient. Mild mercurial alteratives,
diaphoretics, and tonics combined, will often effect a cure, where all
local treatment has been tried in vain. When a large plexus of vessels
remain dilated on the part, the most effectual method of removal is to
divide them, as they ramify on the sclerotic, by means of scissors, or
a fine knife, and afterwards to employ stimulating applications.
The irritability of _ulcers_ on the cornea is diminished by the
application of nitrate of silver, in solution or substance. If in
solution, the application is used in the proportion of three to ten
grains of the salt to the ounce of distilled water; if in substance, a
portion, finely pointed, is gently applied to the sore, which may be
afterwards besmeared with a little oil or simple ointment, in order
to confine the action of the nitrate to the ulcerated part. It is not
necessary, but, on the contrary, hurtful, to rub the caustic freely
on the sore; a very slight application is sufficient to coagulate the
secretions on the part, and form a covering for protection of the
surface. In two or three days afterwards, when the temporary covering
has become detached, and when the irritability of the sore has in
consequence returned, it will be necessary to repeat the application,
but not till then. On each application, and few are in general
required, the sore is found reduced in size considerably. The collyrium
nitratis argenti is very useful in many obstinate cases of affections
of the eye and eyelids, the strength of the solution being varied,
according to circumstances.
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