Report on ophthalmology and otology : delivered before the Illinois State Medical Society, at its Thirty-Second Anniversary Meeting, held at Quincy, May, 1882 / by A.E. Prince.

  • Prince, A. E. (Arthur E.)
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: Report on ophthalmology and otology : delivered before the Illinois State Medical Society, at its Thirty-Second Anniversary Meeting, held at Quincy, May, 1882 / by A.E. Prince. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    18/22 (page 18)
    Case after case illustrative of the condition might be de- tailed, but from a due appreciation of the reader’s time, only such cases have been selected as may be taken as types of classes to which the above is applicable. The following may prove of advantage to those who have under their care cases of granulated lids: ■1. Rev. Chas. M. is a young preacher 28 years of age. A year after entering on bis ministerial duties be had the mis- fortune to contract an ophthalmia, which became chronic and for which he had been under the care of a physician for four months. Upon his coming under my observation X found that his case was one of hypertrophy of the papillae and not one of engorgement of the lymph-follicles (Granular-trachoma of Stelwag.) There was not a great deal of roughness, but there were numerous papillary, small elevations and a slight pannus. When under treatment and not engaged in his work, there seemed to be a strong tendency to get well. He had no error of refraction made manifest either with or without atropia, and hence no glass had been recommended; which is of such well known value in these cases, especially when H. is present. I felt convinced that the use required of the eyes in the exercise of his vocation was the principle reason why his trouble did not yield, and hence resorted to the continuous use of atropia, which seemed to do well for a time, but on its withdrawal the eyes lapsed into their former condition of congestion and asthe- nopia. It occurred to me to give him fifty per cent, of rest at 12 inches. This I accomplished with -f- (= + 1-5 D.) on a prism of 5° base inwards. Nothing could have acted more admirably, and under the relief of accommodation he soon needed no further treatment for his granulations. I would now employ + 1.25 D., prism 4° as less unwieldy—