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
With partial posterior synechia the rest of the pupil is found dilated
while the attached portion extends inward remaining fixed to the capsule
of the lens. If the synechia is complete no dilatation whatever has
occurred. The edges of the adherent iris extend inward as adherent
projections, and any exposed portion of the lens is likely to show black
points, the seat of previous adhesions that have been broken up. In such
cases the periphery of the iris bulges forward from the accumulation
behind it of aqueous humor or inflammatory exudate which cannot escape.
The discoloration of the iris as the result of inflammation, stands out
more definitely under the fuller illumination.
=Crystalline lens.= In exploring the crystalline lens or its capsule for
opacities (cataracts) oblique focal illumination can be employed to the
very best advantage, if the pupil has first been widely dilated by
homatropine and cocaine. The light is concentrated on all parts of the
anterior capsule in turn, then in succession on the different layers of
the lens at all points and finally on the posterior capsule. The
striking reflection from any points of opacity whether pigmentary, gray
or pearly white is diagnostic, not only of cataract, but of its exact
position—anterior or posterior, capsular or lenticular.
=Purkinje-Sanson images.= If the flame of a candle is passed in front of
the eye, at a suitable distance, in a darkened room, and the observer
looks into the eye obliquely from the opposite side, he observes three
images of the flame, reflected respectively from the front of the
cornea, from the anterior surface of the lens and from the back of the
lens. The image from the cornea is erect, bright and clearly defined:
that from the front of the lens is still erect, but larger and dimmer,
because the difference between the index of refraction of the aqueous
and lens is very slight: the third image, which is smaller and clearer
than the last, is inverted, because the surface of reflection on the
back of the lens acts as a concave mirror. The beginner may at first
find it difficult to make out the image from the front of the lens but
with a little care he can do so, and then by moving the light he should
cause each image to pass over all parts of the reflecting surface in
turn. Any unevenness or opacity at any point of the reflecting surface,
will cause the image reflected from it to become blurred or diffused as
it passes over it and thus, not the existence only, but the exact seat
of such opacity is easily demonstrated. Opacities on the cornea cause
blurring of the bright, erect image of the flame as it passes over that
part: opacities on the anterior capsule of the lens blur the dim, erect
image when passed over them: finally, opacities in the body of the lens
or on its posterior capsule, blur the small inverted image as it passes
over them.
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