Ocular therapeutics for physicians and students / by F.W. Max Ohlemann ; translated and edited by Charles A. Oliver.

  • Ohlemann, F. W. Max.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Ocular therapeutics for physicians and students / by F.W. Max Ohlemann ; translated and edited by Charles A. Oliver. Source: Wellcome Collection.

    140/292 (page 128)
    3. CROUPOUS AND DIPHTHERITIC CONJUNCTI- VITIS. For purposes of treatment, a differentiation of these two forms of conjunctival inflammation is not abso- lutely necessary. Although scarlet fever and diph- theria are the most frequent causes of these types of inflammation, yet the conditions may also appear under other circumstances, particularly in poorly nourished children during the first years of life. In the therapy, the same principle holds good as in blennorrheal inflammation, as far, at least, as anti- sepsis, cleanliness, and cauterization of the inflamed mucous surfaces, with protection of the healthy fellow eye, are concerned. Prognosis, however, is less favorable. Schweigger' and Saemisch insist that cauteriza- tion of the conjunctiva during the early stages of the disease should not be made. They state that only after the membrane has loosened can the use of nitrate of silver be instituted. They begin with one-half to one per cent, strength solutions and 1895, S. 151) reported concerning the treatment of blennorrhea with irrigation of the conjunctival sac, by means of a small, specially adapted glass funnel, so arranged that the medicament does not touch the corneal surface. He uses a one to three thousand strength solution of permanganate of potassium three times daily, one (Oij) to two liters (Oiv) being employed at a time. A cure results in about twelve days' time. The same favorable result was achieved in seipentic ulcer and granular conjunctivitis. He keeps the irrigator at a height of about one-half a meter from the eye. Nothing is said concerning the temperature of the solution. 1 Handbuch für gesammten Augenheilkunde, 1S91, Craefe und Saemisciu