Detachment of the Choroid. 403 



In the suppurative form tliere is earh^ profuse lachryinatioii 

 more or less tinged with blood, and later oozing of pus from be- 

 tween the lids. The redness and swelling of the conjunctiva 

 and lids are very prominent features, and if the lids can be sepa- 

 rated the corneal or scleral orifice may be seen oozing pus. If 

 visible at all the anterior chamber shows yellowish opaque con- 

 tents, and the symptoms of panophthalmitis supervene. 



Treatuient of the exudative form is es.sentially the same as 

 for iritis. Atropia lotions with or without cocaine, also astrin- 

 gents, which may be used warm, and generally purgatives, 

 diuretics, local bleeding, cupping, and counter-irritants are in 

 order. In obstinate cases ointment of the yellow iodide of mer- 

 cury, and in cases of extra tension puncture of the cornea may 

 be the means of relief. Iridectomy may be advantageous under 

 careful antiseptic precautions. In case of extensive or general 

 suppuration {panoplitlialmitis^ enucleation of the eye may be the 

 only resort, and may contribute to save the other eyeball. See 

 Panophthalmitis). 



DETACHMENT OF THE CHOROID. 



The choroid is detached from the sclera b}' exudates, blood 

 effusions, or blows with blunt articles. The lesion is especially 

 common in recurrent ophthalmia, choroiditis, and cyclitis. The 

 ophthalmoscope will show the detached portion as a rounded 

 elevation on the otherwise smooth concave surface, with normal 

 or diminished intraocular tension. A tumor of the choroid is 

 usually as.sociated with increase of tension. After inflammation 

 has been subdued these cases maj- be left to rest and time, and 

 will often recover through absorption of the exudate. Rupture 

 of the choroid from violence is to be similarly dealt with. 



