In _Albugo_ and _Leucoma_, proposals have been made for excising,
scraping, or perforating the opaque part; but the cure by such means
is worse than the disease, as a raw surface is left larger than the
previous opacity, and the cicatrix which must inevitably form also
occupies a larger space, and is equally opaque. Leucoma and Albugo
are incurable diseases, though the opacities may become somewhat
thinner, by natural processes, after the lapse of a long period.
_Nebulæ_, however, are often removable. During the treatment of them,
or, rather, before beginning to treat them, it is of the utmost
importance to attend to the state of the surface of the eye, and of
the lids and eyelashes. Stimulating substances may be applied in cases
where the opacities are thin: powders of calomel, aloes, sugar, &c.,
have been blown into the eye; stimulating lotions or ointments are
preferable; one containing the nitrate of silver, with the addition
of a proportion of the liq. sub-acet. plumbi, is sometimes used
with advantage. These, however, are often of no avail, unless the
dilated vessels, when such exist, are divided, or a portion dissected
out; afterwards stimulants will be efficacious, and must be used
assiduously. The vessels may require to be divided again and again.
In _Ophthalmia tarsi_, gently stimulating ointments or lotions are to
be used, and in obstinate cases much advantage will result from the
application of blisters behind the ears and to the nape of the neck,
or from the insertion of a seton in the latter situation. In children
it is necessary to correct the state of the bowels, scarify teeth, and
remove other irritating causes to which that tender age is liable.
_Sloughing of the Cornea_ should, of course, be prevented, if possible,
by subduing the incited action before it has attained such intensity
as to overcome the power of the part. The slough is slow in separating
when the constitution has been much weakened; and sometimes tonics and
stimulants, both external and internal, are required to hasten the
process of separation. When the surface has at length become clean, the
same treatment is required as to an ulcer of the part.
_Conical Cornea._—This deformity can scarcely be cured, nor can any
optical contrivance effectually remedy the disturbance of vision.
When the apex of the cone is opaque, the removal of the pupil to the
circumference by operation affords the best chance of assisting the
sight of the patient.
Public-domain text, read in full here on John Shaqi.
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