Tuberculosis of the conjunctiva / by J.W.H. Eyre.

  • Eyre, J. W. H. (John William Henry), 1869-
Date:
1900
Catalogue details

Licence: In copyright

Credit: Tuberculosis of the conjunctiva / by J.W.H. Eyre. 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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    derived from the tarsal con- junctiva, but usually spring- ing. from the fornices (re- sembling in many respects the velvety granulations met with in tuberculous arthritis), and associated with oedema and thickening of the lids. large polygonal cells, but no definite giant-cell systems (Fig. 2). Tubercle bacilli are usually scattered but very sparsely throughout the tis- sue, and it generally happens that they are missed. In any case one must be pre- pared to examine scores of sections, and even then have to record a negative result. GROUP IV. Characterized by the pres- ence of numerous peduncu- lated “cockscomb” excres- cences in the fornices, of a jelly-like consistence, and of- ten showing more or less extensive superficial ulcera- tion. Sections of the jelly-like masses occurring in this group consist, like the granu- lations of Group III, of masses of small round cells, but show in addition a large proportion of newly formed blood-vessels of the embry- onic type (Fig. 3). As in Group III, it is difficult to demonstrate the tubercle ba- cillus in the sections. GROUP V. Characterized by the pres- ence of a distinctly pedun- culated tumor (very rarely, more than one may be pres- ent) having the macroscop- ical appearances of a papil- loma or fibroma of the tarsal conjunctiva. Sections of the tumor gen- erally show a stroma of fairly dense connective tissue, en- closing a mass of round cells, with here and there giant- cell systems (Fig. 4); and in these systems, or in close proximity thereto, may be found tubercle bacilli, either isolated or in small bunches of five to ten individuals.