Note upon a form of acute inflammation of the conjunctiva associated with pus cocci / by Sydney Stephenson.

  • Stephenson, Sydney, 1862-1923.
Date:
[1897]
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Licence: Public Domain Mark

Credit: Note upon a form of acute inflammation of the conjunctiva associated with pus cocci / by Sydney Stephenson. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    ted />0»l The Lancet, Nov. 13, 1897. NOTE UPON A FORM OF ACUTE INFLAM- MATION OF THE CONJUNCTIVA ASSOCIATED WITH PUS COCCI. By SYDNEY STEPHENSON, M.B. Edin., OPHTHALMIC SURGEON TO THE NORTH-EASTERN HOSPITAL FOR In children one now and then observes an acute inflamma- tion of the conjunctiva along with a pustular eruption of the face or scalp, especially when in the form of eczema impetiginoides.1 It is thought that in these cases the con- j anctiva has been inoculated by the contents of the pustules upon the skin, which are known to include staphylococci. The transference of contagious particles is brought about, as a rule, by the fingers of the patient, although in other instances purulent matter may run directly into the eye. I have examined bacteriologically several cases of this kind, and in all have succeeded in finding pyococci in the secre- tion from the inflamed conjunctiva. I am therefore inclined to think that the organisms named may, with fair probability, be looked upon as causing the conjunctivitis. The following case is so typical of the entire series that it may serve to illustrate certain points with regard to diagnosis and treatment. A female child, two years of age, was brought to the oph- thalmic department of the North-Eastern Hospital for Children on Sept. 15th, 1897. The history was that a fortnight before some yellow humory heads came out on the skin below the eyelids, especially on the left side of the face. Upon inquiry it was found that an elder sister had lately recovered from a similar eruption affecting the chin and mouth, probably impetiginous in nature. The patient's left eye had been inflamed for seven days. With the exception of 1 Vide Dr. George Carpenter's paper on Pns Inoculations and Certain Eye Affections in Children, Archives of Pediatrics, vol. xi., 1894, p. 452. CHILDREN, ETC. tatlon of ;i stricturecl nasal duct.