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By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)
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Extra resources for A Synopsis of Ophthalmology
C. Local steroid treatment is invaluable and often results in improvement that is little short of dramatic. It should be started at the earliest moment and continued until long after the eye is white. d. Hot bathing or short-wave diathermy is helpful if there is pain during the acute stages. e. Dark glasses are essential. DISEASES O F T H E CORNEA 35 / Everything possible for the general health of the patient should be done—good food, vitamins, fresh air, etc. g. Late visual defects due to corneal scarring may be improved with contact lenses or corneal grafting but there is often an associated chorioretinitis.
The treatment is the same as that outlined for neuroparalytic ulcers. Dendritic Ulcer is discussed under VIRUS DISEASES (p. 3 5 ) . II. INFILTRATIONS It must be realized that the distinction between infiltrations and ulcerations is somewhat artificial, because it is not always possible to say where the one begins and the other ends. In the following diseases the main sign found is a deep infiltration, but ulceration may be present as well. 1. Acne Rosacea: This disease usually affects women in the 4 5 - 6 5 years age group.
E N D O T H E L I U M : This is a single layer of cells which is prolonged backwards to cover the pectinate ligament and on to the iris. It is owing to this continuity that pathological processes in the deeper layers of the cornea tend to spread and lead to such complications as iritis, iridocyclitis and even choroiditis. Since the healthy cornea is completely avascular, its nutrition is carried out by diffusion from the vascular arcades at the limbus. Owing to this rather inadequate blood supply, the cornea possesses a unique respiratory mechanism whereby oxygen passes through the cornea in one direction only from the air to the anterior chamber, and the carbon dioxide similarly travels in the reverse direction only.
A Synopsis of Ophthalmology by J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)