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
This is so essential to clear and definite conclusions and is so easily
practiced on the domestic animals that every veterinarian should make
himself familiar with the method. The method is based on the fact that
when two perfectly transparent media touch each other a reflection of
luminous rays takes place only at the surface. But in case any opacity
exists in any part of the thickness of one of these media, it reflects
the rays from its surface no matter what may be its position in the
medium. Thus corneal opacities appear as gray blotches and under careful
focal illumination it may be determined whether these are on the
conjunctival surface, in the superficial or deeper layers of the cornea
or in the membrane of Descemet. Similarly cloudiness or floating objects
in the aqueous, reflect the luminous rays, and so with opacities in the
lens or its capsule, or in the vitreous. In the same way the surface of
the iris and corpora nigra may be carefully scrutinized. For
satisfactory examination of the media, back of the iris, the pupil
should be first dilated, by instillation under the lid of a drop or two
of a 3 per cent. solution of atropia, and the examination proceeded with
twenty minutes later. Homatropin is preferable to atropin as being less
persistent in its action, and less liable to produce conjunctivitis. If
it fails to produce the requisite dilatation, it may be followed by a
drop of a 4 per cent. solution of hydrochloride of cocaine, which will
secure a free dilatation, lasting only for one day in place of seven
days as with atropin. The cocaine further removes pain and favors the
full eversion of the eyelids.
The instruments required for focal illumination are a biconvex lens of
15 to 20 diopters, and a good oil lamp or movable gas jet. The light of
the sun is not satisfactory. The examination ought to be conducted in a
dark room, or less satisfactorily in semi-darkness. The lamp is held by
an assistant at the level of the eye to be examined, either in front or
behind, or first one and then the other, so that the rays of light may
fall upon the eye obliquely. If the lids are kept closed it may be
necessary to expose the cornea by pressing on the lids with the finger
and thumb. The light is held 8 or 10 inches from the eye and the lens is
interposed between it and the eye and moved nearer and more distant
until the clearest illumination has been obtained of the point to be
examined. In this way every accessible part of the eye may be examined
in turn. The examiner may make his results more satisfactory by
observing the illuminated surface through a lens magnifying three or
four diameters. It is important to observe that the eye of the operator
must be in the direct line of reflection of the pencil of light.
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