64 BACTERIOLOGY OF THE EYE 



cases agree with what we observe in animals on infecting the con- 

 junctiva after scarification with virulent diphtheria organisms, when, 

 after subsidence of the brawny oadema, the hairs fall out and actual 

 gaps occur in the lids. In conjunctival diphtheria, too, the necrotic 

 process and membrane formation can spread past the margins of the 

 lids on to the skin; in such a case Uhthoff and Frankel found virulent 

 diphtheria organisms in the eczematous pustules of the face which 

 accompanied the eye condition. In the case recorded from my clinic 

 by Plaut the Staphylococci and Streptococci which he cultivated were 

 only secondary, as the gangrene was due to excessive applications of ice. 

 Mario w (Ophth. Eec., 1901, p. 626), under the title of ' Noma of the 

 Lids,' described a case of gangrene in a badly-nourished child. He 

 gave no bacteriology, and it must be confessed that the clinical ' noma ' 

 is not a bacteriological entity. Wagenmann 1 and Vix 2 only found 

 Staphylococci. In Kipp's rare case of senile lid gangrene 3 infection 

 was only secondary. 



LITEEATUEE. 



APETZ, Munch, med. Woch., 1906, S. 908. 



AXENFBLD, Gangran der Lider nach Morbillen. K. M. f. A., 1904, I, S. 576. 



BRONS, Infektiose Liderkrankungen, 'Ergebnisse' (LUBARSCH - OSTERTAG), 1900- 



1905. 

 CASTERSANA and GOICCECHA, Gangr. aller Lider nach Erysipel. ; Jahresber., 1904, 



S. 488. 



ELSCHNIG, Gangran der Lidhaut. K. M. f. A., 1893. 



GIULINI, Gangran nach impetiginosem Ekzem. Munch, med. Woch., 1889, S. 401. 

 HILBERT, Lidhautgangran bei Kindern. Vierteljahrsschr. f. Dermat. u. Syphilis, 



1884, S. 117. 

 ISOLA, Gangrene de los parpados postvaricelosa. Arch, de oft. hispano-amer., 



1905, Febr. 



KOLLE, Lidgangran nach Scharlach mit Conj.-Diphth. Inaug. Diss., Giessen, 1902. 

 MORAX, Necrose et gangrene des paupieres. Annales d'ocul. T. 127, p. 143. 

 PES, Die akute gangranose Phlegmone der Lider. Z. f. A., 1904, Bd. XII, S. 438. 

 MORI and YAMAMOTO, Lidgangran mit Diphtheriebazillen. Ophth. Klinik, 1905, 



S. 119. 



PLAUT, Lidgangran durch iibertriebene Eisanwendung. K. M. f. A., 1899, S. 35. 

 POSSEK, K. M. f. A., 1907, Bd. I, February. 



ROGER and WEIL, La gangrene benigne des paupieres. Presse Med., 1901, p. 157. 

 ROMER, Lidgangran. Halle, 1900, bei Marhold. 

 SCHILLINGER, Ein weiterer Fall von Lidgangran mit Diphtheriebazillen. Inaug. 



Dissert., 1903, Tubingen. 



STEFFENS, Lidgangran mit Diphtheriebazillenbefund. K. M. f. A., 1900, S. 337. 

 VALUDE, Lidgangran. France Med., January 10, 1890. 



Malignant pustule (anthrax, Miltzbrandgangran, charbon) generally 

 has a different appearance. The usual pustule appears, and rapidly 



1 Deut. Med. Woch., 1901, Vereinsbeil, p. 236. - Inang. Diss., Jena> 1901. 



3 Oph. Rev., 1896, p. 249. 



