By J. L. C. Martin–Doyle (Auth.)
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Extra info for A Synopsis of Ophthalmology
R o d e n t U l c e r (see D I S E A S E S OF THE E Y E L I D S , p . 1 5 0 ) . — T h e s e m a y involve t h e c o n j u n c t i v a b y direct extension from t h e lids. — 1 . If seen in a n e a r l y s t a g e local r e m o v a l w i t h a s h a v i n g of t h e u n d e r l y i n g sclera is i n d i c a t e d . T h e b a s e should be treated with radium. 2. If t h e g r o w t h is m o d e r a t e l y developed t h e eyeball should be removed. 3. I n a d v a n c e d cases n o t h i n g b u t r e m o v a l of t h e eyeball a n d e x e n t e r a t i o n of t h e orbit should b e u n d e r t a k e n .
6. N e u r o p a r a l y t i c U l c e r . — T h i s condition c a n develop a s t h e result of Gasserian ganglion lesions, including surgery of t h e ganglion. I t is v e r y r a r e l y seen as a complication of fractured skull a n d of i n t r a c r a n i a l t u m o u r s . T h e cornea becomes anaesthetic, hence reflex blinking n o longer occurs a n d small foreign bodies r e m a i n u n n o t i c e d . I n t h i s w a y t h e resistance of t h e cornea is lowered a n d p a t h o g e n i c organisms m u l t i p l y .
P i g m e n t e d N a e v u s . — T h i s is usually s i t u a t e d n e a r t h e l i m b u s a n d is light t o d a r k b r o w n in colour. I t is freely m o v a b l e w i t h t h e conjunctiva. R e m o v a l is advised, for t h e r e is a l w a y s t h e risk of a p i g m e n t e d t u m o u r developing m a l i g n a n t changes. 3 . G r a n u l o m a t a . — T h e s e usually occur a s polypoid o u t g r o w t h s from t h e site of a conjunctival w o u n d , a chalazion, e t c . Snip off w i t h scissors a n d t o u c h t h e base w i t h a c a u t e r y .
A Synopsis of Ophthalmology by J. L. C. Martin–Doyle (Auth.)