PART XII. 

 DISEASES OF THE EY"E. 



CHAPTER I. 



DISEASES OF THE EYELIDS. 



Examination. —This is easily accomplished in ordinary 

 daylight, or artificial light. The following points are worthy 

 of consideration: (a) Note the position of the lids, whether 

 they are normal or the degree of abnormality if present. 



(b) Note the reaction of the lids to ordinary stimuli. This 

 is important to determine different degrees of sensitiveness. 



(c) Inspect the margin of the lids to determine whether or 

 not the outline is regular, the presence or absence of the 

 eyelashes, (d) Palpate the external surface for irregularities, 

 tumors, etc. (e) The condition of the hair and surface of the 

 eyelid should be inspected for wounds, denuded areas, 

 eczema, mange, etc. (/) Evert the lids noting the resistance 

 of the supporting structure and the condition of the conjunc- 

 tival surface. 



Various positions and reactions of the lids bear an impor- 

 tant relation to different forms of paralysis and other diseases. 



WOUNDS OF THE EYELIDS. 



Various degrees of wounds are found involving the eyelids. 

 Lacerations of different degrees are quite common from 

 injuries or having the lids caught on sharp objects and torn. 

 These wounds may involve only the margin of the lids, the 

 skin covering the cartilage, or the entire structure. Even 

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