5i6 DISEASES 01- J HI: liYE 



LUrtroly.sis, X-rays, racliuin and tin- j^Mlvaiin-cautci y an- iist^ul 



in the hands of skilled operators. 

 Whatever the treatment it must he coniiniitd until every trace 



of hvpertrophy has disappeared. 

 Prophvlaxis is most im|xjrtani and necessiiry warning with 



appropriate advice must be given to those concerned. 

 An epidemic of trachoma is a .serious matter. 



(d) Spriufi Catarrh or Conjuuclivitis ccstivalis. 



This varietv, which resembles trachoma, occurs in tiic spring- 

 and summer. Tiu- conjunctiva' may be covered with 

 flattened jiapilla' of a bluisii tinge. 



The intermittent and recurrent nature of the disease with 

 the reappearance of the granules will difi^erenliate this from 

 trachoma. The letiology is unknown. The condition 

 mav last for years and then dear up. There is no known 

 cure and the treatment is symptomatic. 



(e) Epithcliosis desqiiamaliva or Samoan eye disease. 



There is a milkv secretion from trachoma-like bodies. Some 

 of the.se are intracellular and form a cell inclusion of small 

 granules or " elementary bodies " which stain violet-red 

 with Giemsa's stain. The extracellular bodies are tiiose 

 that are more mature. True granules do not develop. 

 The conjunctiva atrophies. The disease is common in 

 Samoa as is indicated by its name. The suggested para- 

 site is a chlamydozoon, Lycozoon atrophicans. 

 (/) Phlyctenular conjunclivitis and keratitis. 



This is fairly common in China. There are small reddened 

 projections (phlyctenuki?) consisting of accumulated 

 hniphoid cells which .soften at their apices forming a 

 small ulcer. They nia\- occur on the conjunctiva? or the 

 cornea. Sometimes they appear in crops, each phlyctenule 

 from two days to two weeks. 



Relapses are common. This di.sease is found in chiklren 

 of .so-called scrofulous diathesis and seems to be caused by 

 some constitutional or dietetic error. For treatment, dust 

 with calomel daily or use yellow oxide of mercury, i to 2 

 per cent. 



Corneal ulcers are not uncommon. 



Treat with the actual cautery and atropine. 



( )ne p<'r cent, xeroform ointment, mois; warm compresses, 

 hydrogen peroxide, formalin 1 in 40. \-c. 



Cocaine is nece.s.sary for the actual cautery. 



Perforations require iridectomy. 



