Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
4th. =Determine the vascularity of the conjunctiva.= When free from
pigment as it habitually is in pigs and birds this is easily done, while
in animals like the horse, in which the bulbar portion, which covers the
sclerotic, is largely pigmented, we can scrutinize only the pigment free
parts. =In health= there should be only a few, fine, pink vessels which
move with the mucosa when pressed aside on the bulb. =In congestion= the
surface may appear brick red, and the vessels are irregular, large,
tortuous and are seen to anastomose at frequent intervals. These move on
the bulb when pressed. The congestion is usually deepest on the
palpebral mucosa and in the _cul de sac_, and may be whitened for an
instant by pressure through the eyelid. To expose the conjunctiva the
right fore finger and thumb may be pressed on the upper and lower lids
respectively of the left eye, and the left finger and thumb for the
right, allowing them to slide backward above and below the eyeball.
Another method is to seize the cilia and edge of the upper eyelid
between the finger and thumb, and draw it downward and outward from the
bulb, and then deftly invert it over the tip of the finger. In the old
the unpigmented conjunctiva may appear yellow from the presence of
subconjunctival fat, or this may appear at any age from hepatic disease
(distomatosis) or icterus. It is swollen, or dropsical in anæmia,
distomatosis, etc.
5th. =Examine the ciliary vessels whether they are congested or not.=
These are distinguished from the conjunctival vessels in that they
radiate in straight lines outward from the margin of the transparent
cornea and do not move on the sclerotic under pressure. They are
enlarged and very red in congestion of the ciliary circle and in iritis.
In eyes devoid of pigment over the sclerotic, there is usually a
circular, narrow, white zone between the congested area and the margin
of the transparent cornea.
6th. =Examine the Membrana Nictitans.= See that its free margin is
uniformly smooth, even, and thin and that there is no swelling,
congestion nor morbid growth on any part of the structure.
7th. =See if the transparent cornea is perfectly and uniformly smooth,
transparent and glistening and if it reflects clear, erect images of all
objects in front of it.= The image of a round object which shows any
irregularity in the curvature of its margin implies a deviation from an
uniform curvature of the cornea: the image narrows in the direction of
the smaller arc and broadens in the direction of the larger one (see
keratoscopy, and corneal astigmatism).
8th. =A foreign body on or in the cornea= may be recognized in a good
light, but better and more certainly under focal oblique illumination
(see this heading).
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