By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)
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Extra resources for A Synopsis of Ophthalmology
GONOCOCCAL IRITIS: This is a blood-borne infection and usually occurs during or after an attack of gonococcal arthritis. So far as the eye signs are concerned it does not differ from any other iritis, but this particular type is very liable to recurrences and is nearly always bilateral. 3. IRITIS DUE TO FOCAL SEPSIS: Follows the same course as any other iritis. In every case when the aetiology is doubtful a careful watch should be made for a septic focus in some part of the DISEASES O F T H E UVEAL TRACT 51 body.
The condition is found in subsiding corneal oedema and in any condition which has produced a drying or desquamation of the cornea. It can be intensely irritating. T R E A T M E N T : Local removal of the filaments wherever possible and carbolization of their bases of attachment is recommended. Atropine should be used and dark glasses worn while the eye remains irritable. Local steroid therapy can be tried. III. V I R U S DISEASES There are five types of virus infection of the cornea: (1) Herpes febrilis; (2) Dendritic ulcer; (3) Superficial punctate keratitis; (4) Herpes ophthalmicus; (5) TRIC.
Prognosis is bad, but in cases of frank suppuration sympathetic ophthalmia is very unlikely. 48 A SYNOPSIS O F OPHTHALMOLOGY TREATMENT: 1. Energetic and immediate general and local antibiotic and/or chemotherapeutic treatment is indicated, the choice of drugs depending upon the causative organism. 2. Until the organism is isolated, subconjunctival injections of penicillin or framycetin should be given, a broad-spectrum antibiotic ointment instilled into the eye 1-hourly, and sulphonamide treatment given systemically.
A Synopsis of Ophthalmology by J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)