A Synopsis of Ophthalmology by J. L. C. Martin–Doyle (Auth.)

By J. L. C. Martin–Doyle (Auth.)

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This, t o o , is w i t h o u t significance a n d requires n o t r e a t m e n t . 4 . M a r g i n a l A t r o p h y . — A r a r e d e g e n e r a t i o n found in old people. A * g u t t e r ' forms in t h e region of t h e a r c u s senilis, a n d if t h e g u t t e r deepens ectasia will result a n d D e s c e m e t ' s m e m b r a n e m a y r u p t u r e . T h e g u t t e r is formed b y t h e a b s o r p t i o n of t h e fat p r e s e n t in t h e a r c u s senilis. T h e disease m a y be bilateral.

If t h e s e m e a s u r e s fail a n d if t h e t e n s i o n is raised, p a r a c e n t e s i s or Saemisch's section should b e considered. b. E C T A T I C S C A R . — S o m e t i m e s a n ulcer m a y increase g r e a t l y in d e p t h a n d d u r i n g t h e process of healing t h e cornea m a y b e c o m e so t h i n t h a t it is u n a b l e t o s t a n d t h e 32 DISEASES OF THE CORNEA Simple Corneal Ulcers, continued. n o r m a l i n t r a - o c u l a r pressure, a n d a p e r m a n e n t bulge results.

5. F i l a m e n t a r y K e r a t i t i s . — T h i s is n o t strictly a n infiltrat i o n of t h e cornea. D u r i n g t h e course of a superficial k e r a t i t i s d y i n g filaments, consisting of shreds of epithelium, b e c o m e p a r t l y d e t a c h e d from t h e cornea. M o v e m e n t of t h e lids causes t h e s e m o v a b l e shreds t o b e c o m e elongated while still r e m a i n i n g a t t a c h e d a t one e n d . A fully 38 DISEASES OF THE CORNEA Filamentary Keratitis, continued, developed filament resembles a m i n u t e t a d p o l e w i t h t h e tail a t t a c h e d a n d t h e h e a d free.

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