By J. L. C. Martin-Doyle (Auth.)
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S e v e r e pain in and around the e y e , w i t h photophobia and lacrimation. T h e conjunctiva is congested and ciliary flush is present. T h e r e is marked impairment o f vision. T h e r e then appears the train o f signs mentioned in the section headed PATHOLOGY : * m u d d y ' iris, sluggish pupil reaction, small irregular pupil, and in untreated cases all the pathological processes mentioned a b o v e , and the e y e m a y finish up as a painful blind one due to secondary glaucoma. I t will be convenient at this stage to consider the different t y p e s o f iritis as outlined under the heading AETIOLOGY.
A c n e R o s a c e a . — M a n y patients w i t h this complaint d e v e l o p an infiltrating keratitis w i t h much lacrimation and mucopurulent conjunctival discharge. Grey-coloured isolated patches of infiltration occur. These sometimes break d o w n and form small ulcers. Often iritis is present as well. These cases nearly always run a chronic course, and there is a marked tendency for relapses t o occur. — a. General and local treatment for the skin condition is essential, and the patient should consult a dermatologist.
T h i s can occur whenever a condition arises which prevents the lids from covering the cornea. It is most frequently seen in severe exophthalmos in Graves' disease, orbital tumours, exophthalmic ophthalmoplegia, facial paralysis, etc. T h e treatment is the same as that outlined for neuroparalytic ulcers. D e n d r i t i c U l c e r is discussed under V I R U S DISEASES ( p . 3 6 . ) INFILTRATIONS II. 33 INFILTRATIONS I t must be realized that the distinction between infiltrations and ulcerations is somewhat artificial, because i t is not a l w a y s possible t o say where the one begins and the other ends.