=Symptoms.=—No pain is experienced unless there are complications.
Vision is altered in some degree. The use of the ophthalmoscope may
reveal opacities in the vitreous. Pigmentation spots and exudation may
be noted in the fundus. In disseminated choroiditis spots of exudate
appear in the fundus which go on to atrophy, leaving irregular circular
light patches.
=Treatment.=—In all forms of choroiditis careful diagnosis of
constitutional conditions should be made and treatment given according
to indications.
Nasopharynx and orbital treatment as outlined under manipulation for
diseases of the eye should be given.
Rest and protect the eyes. Secure free elimination.
Panophthalmitis
By injury or otherwise pathogenic germs are introduced into the eye.
The trouble begins as a =suppurative choroiditis= and rapidly spreads
to all the eye structures. The vitreous chamber becomes filled with pus.
=Symptoms.=—Pain is severe and sight is lost early. The conjunctiva
and lids are much swollen. There is a mucopurulent discharge. The
cornea becomes gray and may slough. In about two weeks the inflammation
subsides and the globe passes into atrophy.
=Treatment.=—Elimination must be thorough. Spinal treatment for keeping
up strength. Cervical, upper dorsal and nasopharynx treatment for the
eye. Moist hot compresses to the eye. Operation, incision for drainage,
or evisceration may have to be performed.
Sympathetic Ophthalmia
The other eye may become inflamed by the process from the
panophthalmitis passing around through the circulation or the
continuous structures. All symptoms of a general inflammation appear
and vision gradually diminishes.
=Treatment.=—In panophthalmitis of one eye always watch the other eye
closely. If it becomes irritable or shows any signs of being affected
the diseased eye should be promptly removed, especially if vision is
lost in that eye. If no irritation occurs, continued conservative
treatment of the panophthalmitis may result in a subsidence of the
disease without the well eye becoming affected.
Sympathetic inflammation rarely develops earlier than a month after
injury to the exciting eye. Sooner than that or even a few minutes
after injury there may be some signs of sympathetic irritation and
the symptoms continue with no evidence except a slight circumcorneal
injection. It should be treated like iritis. A thorough toning of the
system by spinal treatment should be given. Order a limited diet.
Secure free elimination.
Glaucoma
Glaucoma is essentially an increase in the intra-ocular pressure. All
other symptoms of the trouble may be traced to this condition.
In =Primary Glaucoma= the increase in pressure sets in without any
discoverable antecedent disease of the eye.
In =Secondary Glaucoma= the increase in pressure is due to some other
disease of the eye. It is a symptom, a complication or accessory and is
confined to the eye diseased.
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