By J. L. C. Martin–Doyle (Auth.)
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Extra resources for A Synopsis of Ophthalmology
I t h a s a l r e a d y been given a detailed description u n d e r D I S E A S E S OF THE CONJUNCTIVA, b u t w h e n p h l y c t e n u l a r disease affects t h e c o r n e a t h e following clinical t y p e s c a n b e seen :— a. FASCICULAR U L C E R , w h i c h s t a r t s a t t h e l i m b u s a n d sweeps across t h e cornea, leaving a leash of vessels in its t r a i n . b. INFILTRATING P H L Y C T E N w h e n t h e d e e p corneal layers b e c o m e involved. c. MULTIPLE P H L Y C T E N S , v e r y small in size a n d a l w a y s around the limbus.
I t occurs in t w o forms : (1) P r i m a r y c h a n c r e ; a n d (2) G u m m a t o u s u l c e r a t i o n . B o t h t h e s e forms resemble t u b e r culosis, b u t e x a m i n a t i o n of t h e scrapings for s p i r o c h e t e s a n d t h e W a s s e r m a n n t e s t will s e t t l e t h e diagnosis. DEGENERATIVE CHANGES P i n g u e c u l a is t h e n a m e given t o small t r i a n g u l a r nodules which a r e found in middle-aged people, especially in t h o s e p a t i e n t s w h o live a n open-air a n d exposed life.
MALIGNANT TUMOURS 1. M a l i g n a n t P a p i l l o m a of t h e L i m b u s . — T h i s t u m o u r is sessile a n d p r e s e n t s a * r a s p b e r r y ' a p p e a r a n c e . I t is highly CONJUNCTIVAL BURNS 25 v a s c u l a r a n d t e n d s t o i n v a d e t h e c o r n e a a n d sclera, a n d e v e n t u a l l y t h e globe. I n its e a r l y stages i t resembles a n i n n o c e n t t u m o u r , b u t i t soon b e c o m e s obviously m a l i g n a n t , invading t h e pre-auricular and submaxillary glands and e v e n t u a l l y leaving s e c o n d a r y deposits in v a r i o u s p a r t s of the body.