By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)
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Extra resources for A Synopsis of Ophthalmology
B. The most helpful treatment is local corticosteroids. Many cases respond dramatically when treated in this way. c. X-ray treatment has been of advantage in some of the worst cases, but such treatment is rarely called for since the introduction of corticosteroids. d. Tarsorrhaphy should be undertaken if the disease is inclined to get out of control. 2. Keratitis Profunda: A deep infiltration of unknown pathology. It usually occurs after trauma, exposure and other causes which lower DISEASES O F THE CORNEA 33 the resistance of the cornea.
This is known as 'ring synechiae' or 'seclusio pupillae'. It is a serious condition, for it prevents the intra-ocular fluid from circulating from the posterior chamber through the pupil to the filtration angle. The iris in these cases is ballooned forwards by the accumulation of fluid (iris bombé), and a serious secondary glaucoma results. In this condition the peripheral margin of the iris is in contact with the cornea, thus obliterating the filtration angle and the inflamed iris may adhere to the cornea at its periphery (peripheral anterior synechiae).
Chapter III D I S E A S E S OF THE CORNEA Anatomy and Physiology: The cornea is a transparent structure forming a window in the most anterior portion of the sclerotic. It is somewhat elliptical in shape, with its longer axis horizontal. Its approximate measurements are 12 mm χ 11 mm χ 1 mm in depth. At its periphery the cornea is slightly overlapped by the sclerotic in the same way as a watch glass is overlapped by the rim. Section of the cornea reveals the following layers: 1. STRATIFIED EPITHELIUM.
A Synopsis of Ophthalmology by J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)