The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
The mucous membranes are in constant contact with microörganisms
and furnish conditions in many respects favorable for their rapid
development. Nevertheless, the latter is interfered with and often
inhibited by certain mechanical and chemical influences which afford
protection. The conjunctiva is an extremely exposed membrane, which
harbors, however, but a relatively small number of bacteria under
ordinary circumstances. The tears before escaping from the conjunctival
sac are sterile, and are probably saline enough to act as an antiseptic
bath for the cornea. Moreover, by free escape of secretion through
the nasal duct the conjunctival sac is kept constantly irrigated, to
which is mainly due its ordinary healthy condition, as it is well
known how commonly lesions follow obstruction to the lacrymal duct.
The horrible results of Egyptian ophthalmia, _i. e._, the pyogenic
form of conjunctivitis, are familiar to travellers in Egypt. Howe and
others have shown that this disturbance is due to flies, which are
carriers of infection, and are attracted toward the eyes of infants,
while the superstitious notions of the parents restrain their children
from instinctive protection of the eyes when thus irritated. There
is probably no greater common carrier of pyogenic infection than the
common house-fly, and nowhere is this agency more demonstrated than in
the hot climates of the Orient.
[Illustration: PLATE III
FIG. 1
Artificial Dental Caries in Cross-section. Tubules Filled with
Bacteria. (Miller.)
FIG. 2
Putrid Tooth Pulp. Infection of Dental Tissue. × 1000. (Miller.)
FIG. 3
Dental Caries. Disappearance of Dental Tissues as Result of Presence of
Bacteria. (Miller.)
FIG. 4
Dental Caries. Tubule Filled with Cocci. (Miller.)
FIG. 5
Dental Caries. × 500. (Miller.)
FIG. 6
Dental Caries. Tubules Plugged with Cocci. × 500. (Miller.)]
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