This affection of the supraorbital branch of the fifth cranial nerve
may extend to the eyelids. It may not go beyond the stage of blistering
and redness with some edema. However, it is possible for it to become
gangrenous and even extend to the conjunctiva and cornea. I had one
case of herpes zoster gangrenosa of this region. There were several
gangrenous spots as large as a dime on the forehead and extending down
in the region of the eyelid. The process extended to some extent on the
cornea and in healing left a condition of irregular astigmatism.
=Treatment.=—The prognosis in herpes zoster is always favorable under
osteopathic treatment. Lesions of the cervical region will almost
invariably be found interfering with the sympathetic connections of
the fifth cranial nerve causing the trophic disturbance to the region.
Osteopathic treatment applied to these conditions will always hasten
normalization. The affected part might be kept covered with some
soothing lotion to keep the skin soft.
Hordeolum
This is commonly known as a =sty=. It is due to suppuration of the
=glands of Zeiss=. It is a harmless affection but causes pain and
inconvenience.
=Diagnosis.=—Swelling and pain with a small inflammed nodule in the
palpebral margin is quite diagnostic.
=Treatment.=—The circulation is obstructed in this region. The effort
should be made to open the circulation before pus has formed. This can
frequently be done and the hordeolum aborted by carefully picking up
the eyelid and rolling the nodule between the fingers. This will cause
some pain but if it is kept up for a moment or two about every hour
through the day with an occasional thorough treatment of the neck the
sty will usually be aborted. If pus forms it should be opened as soon
as it points and then the squeezing and rolling process may be employed
again, which will aid rapidly in the freeing of the circulation.
Chalazion
This is a =Meibomian cyst= in the eyelid. It shows as a circumscribed
swelling on the inner side of the lid. It frequently becomes large
enough to produce some deformity of the lid. A chalazion is movable on
the tarsal cartilage. It is a chronic condition and the cyst may become
as large as a bean. There may be more than one in the same lid.
=Treatment.=—When a chalazion is small and not of long standing it can
frequently be cured by osteopathic treatment. Introduce the finger into
the conjunctival sac under the lid, and with the thumb externally,
grasp the chalazion between the finger and thumb; roll it thoroughly.
Squeeze and massage it two or three times a week for awhile. This,
combined with a thorough treatment of the neck, will result in a cure.
If at the end of six weeks the condition has not disappeared surgery
should be resorted to.
Blepharitis
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