Ulceration of the cornea from the diplobacillus of Morax-Axenfeld / Hanford McKee.

  • McKee, Samuel Hanford, 1875-1943.
Date:
1907
Catalogue details

Licence: In copyright

Credit: Ulceration of the cornea from the diplobacillus of Morax-Axenfeld / Hanford McKee. 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.

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    G be pneumococcus, streptococcus or diplobaeillus, destruction of cor- neal tissue takes place all too soon. But of inestimable value as re- gards treatment and as regards prognosis is it to find out at the beginning what organism you have to deal with so you may act accordingly. Much stress has been put on the minute descriptions of these ulcers. It seems to me of no great importance Avhether one side of your ulcer is progressing (pneumococcus) or whether the whole border of your ulcerated surface has a yellowish appear- ance (streptococcus), and certainly of less importance whether your ulcer is, square, round, oblong or crescent-shaped. Ulcers of the cornea of the serpiginous type may be set up by either the pneumococcus, streptococcus or diplobaeillus; clinically the ulcers may present identically the same picture, but in the light of our present knowledge, if we wish to treat and prognose with some ' degree of intelligence, how important it is to find out which of these or what other factor we may have to deal with. The advantage of knowing whether you are dealing with the pneumococcus or the diplobaeillus is easily understood. The thera- peutic measures necessary to overcome either are very different from those necessary in the other. In pneumococcus infection, especially of the corea, we have an exceedingly virulent organism to deal with. In diplobacillar}'' infection, either of the conjunctival sac or the cornea, we have a specific in the sulphate of zinc. BIBLIOGRAPHY. Zuv Nedden ; Monatsblatter f. Augenheilkunde, 1897. ■ Ulithoir and Axenfeld : Archives f. ophthalmologie, 1897. Peters : Klinische Monatsblatter f. Augenheilkunde, 1897. Gifford: Annals of Ophthal., 1898. Sweet: Ophthal. Hecord, 1899. Petit: Recherches cliniques et bacteriologiques sur les infections aigues de ia corn6e, 1900. Schmidt: Archives f. Augenheilkunde, 1902. Paul : Monatsblatter f. Augenheilkunde, 1905. Erdmann : Monatsblatter f. Augenheilkunde', 1905. Agricola : Monatsblatter f. Augenheilkunde', 190G ; Beilageheif. Hanford, McKee: Montreal Medical .Tournal, 1905, September; Montreal Med- ical .lournal, 190G, April; American Journal of Medical Science, 190G. June.