Clinical studies on diseases of the eye including those of the conjunctiva, cornea, sclerotic, iris, and ciliary body

Front matter

Dr. Xawbaugb no j£j*j.QmmwNWNWH

YALE MEDICAL LIBRARY

HISTORICAL LIBRARY

Preface

In acceding- to the wishes of the numerous students whom I have taught since 1846, for a systematic collection of my clinical lectures, I 'regret that for the present I can offer only a part of them. The continuation of this work depends upon my health and upon the judgment my colleagues will pass upon the present volume.

My object in publishing this work was primarily to give the physicians engaged in general practice a book of reference which they could consult regarding the common and most frequent diseases of the eye ; I also hoped that I could induce them to reflect more upon the various morbid processes, and to inquire into their exciting causes. To determine this etiological relation for each individual case is no less important for the practicing physician (on account of prognosis and therapy, and often, too, with reference to questions of sanitary science and forensic medicine) than to find out in which part of the organ the disease is located, what anatomical changes have taken place, and what changes are still likely to occur, according to general principles and our own experience. Such has been the aim in view in the preparation of this book.

Dr. Arlt.

Part I.— Diseases Of The Conjunctiva

A. Inflammatory Affections of the Conjunctiva.

PAGE

I. Catarrhal Conjunctivitis 9

II. Croupous 25

III. Blennorrhoeal " 28

IV. Diphtheritic " 66

V. Conjunctivitis, scrofulous or lymphatic (pustulosa, phlyctaenu-

losa, Herpes conjunctivas et corneae), . . . 71

VI. Exanthematous conjunctivitis, inflammatory, .... 86 Diseases of the conjunctiva in acute and chronic exanthemata,

VII. Traumatic conjunctivitis, . 97

(Injuries of the conjunctiva.)

Pterygium, 101

VIII. Tubercular conjunctivitis, ........ 106

B. Non- Inflammatory Affections of the Conjunctiva.

I. Without marked alterations of the conjunctival tissues, . .110 II. Neoplasms — Tumors, in

Part Ii.— Diseases Of The Cornea

A. Inflammation of the Cornea.

General considerations, . . . . . . . .117

I. Interstitial Keratitis, . . . . . . . .120

(a). Interstitial keratitis of constitutional origin, .... 121

1. Keratitis lymphatic, scrofulous, . . . . . . 121

2. " syphilitic, hereditary 126

(b). " interstitial, as a local disease, 131

(c). " consecutive 134

1. following irido-cyclitis, . . . -134

2. Corneal Abscess, 163

3. Superficial purulent infiltration, 179

III. Injuries of the Cornea, 180

vii

Mil CONTENTS.

B. Non-Inflammatory Diseases of the Cornea.

PAGE

IV. Opacities of the Cornea, . 188

V. Abnormal Curvature of the Cornea, ..... 203

Part Iii.— Diseases Of The Sclerotic

I. Inflammation of the Sclera — Scleritis, 211

1. Simple Scleritis 211

2. Complicated Scleritis — kerato- or uveo scleritis, .... 213 II. Injuries (wounds, rupture) of the Sclera, .... 220

III. Ectasia and Staphyloma of the Sclera, 224

PART IV.— DISEASES OF THE IRIS AND CILIARY BODY. A. Inflammatory Diseases

I. Inflammation of the Iris — Iritis 228

(a). General considerations, ........ 228

(b). Special considerations — Types of iritis, ..... 246

1. Iritis as the result of injuries — Traumatic iritis, . . . 248

6. " scrofulous 265

7. " sympathetic, 268

8. " after remittent fever, ........ 268

9. " after meningitis, ........ 268

II. Inflammation of the Ciliary Body — Cyclitis, .... 268

(a). General considerations, ........ 268

(b). Special considerations — Different types of Cyclitis, . . . 280

1. Cyclitis following injury of the globe, ..... 280

2. " sympathetic — cyclo-iritis, ...... 289

3. " (cyclo-iritis) after recurrent fever, . . . . 301

4. " after meningitis, ........ 303

B. Non-Inflammatory Changes of the Iris. (Ciliary Body.)

I. Congenital, 305

1. Anomalies of Color, 305

2. Persistent Pupillary Membrane, 305

3. Coloboma of the Iris, ........ 306

4. Congenital Irideremia, ........ 307

II. Acquired Anomalies, non-inflammatory, .... 308

1. Mydriasis 308

2. Myosis, 312

3. Change of Position. Disturbance of Continuity, . . . 314

Index, 323

DISEASES OF THE EYE