INJURIES OF THE GLOBE 167 



require special treatment. After thoroughly cleansing 

 the wound, the iris, if not wounded itself, may be re- 

 placed, and, if it is centrally located, a mydriatic should 

 be employed to draw it away from the opening and 

 prevent adhesions. If the wound is near the corneal 

 margin a myotic may be used for the same purpose. 

 If the wound is extensive, and involves the iris with a 

 protrusion of this tissue through the wound, the pro- 

 truding portion may be excised and a mydriatic or myotic 

 employed, according to the location of the injury. By 

 watching the condition of the iris, and keeping the 

 wound absolutely clean and protected with an anti- 

 septic dressing, nature will produce wonderful results 

 oftentimes in these cases. It is not advisable to stitch 

 a corneal wound. 



If inflammation arises by reason of infection, more 

 rigid antiseptic measures must be employed. After 

 thoroughly cleansing the eye of all secretion the insuffla- 

 tion of finely powdered iodoform, boric acid, or equal 

 parts of these may be used, or an ointment of iodoform, 

 with lanolin as a base, is of great value. Should inflam- 

 matory reaction of the iris take place the general treat- 

 ment of iritis must be employed. 



Wounds of the conjunctiva and sclera may be brought 

 together with fine sutures. It is preferable to use a 

 silk suture with a needle on both ends, and these passed 

 through the tissue from within outward, the sclera and 

 conjunctiva stitched separately. The ruptured parts 



