98 CANINE DISTEMPER 
(5) Total Excision.—A grave termination which becomes 
imperative in some cases of panophthalmitis and glau- 
coma. 
(6) Nystagmus.—This name has been given to a con- 
tinuous rolling movement of the eye, and is said to have 
been observed as a rare sequel to distemper, but in 
fourteen years’ experience I have never encountered a 
case in the lower animals (except in connection with 
concussion of the brain after an accident), though it is 
occasionally seen in the human being. Fortunately all 
these sequelae are quite infrequent, the great majority of 
cases of distemper leaving in their wake no serious com- 
plication connected with the eye. 
At the moment I am treating a Pekingese spaniel nine months old, 
and said to be “over distemper.” It was brought to me for examination 
and opinion one Saturday morning. It was lively and feeding well, but 
had a watery discharge from both eyes, though more particularly from 
the near side one, and a snuffling of the nose; temperature was 100°6° F., 
and the owner had noted a state of constipation. On the left flank was 
a minute pimple in the centre of what appeared to be a small patch of 
dry eczema. Notwithstanding the history, I diagnosed distemper. The 
following Monday it was brought again, and I was surprised to find the 
left eye quite opaque and a weli-developed corneal ulcer present 
attended by profuse lachrymation and moderate photophobia, Con- 
stipation still in evidence, also sneezing; temperature 1o1‘o° F. and 
appetite good. Suitable treatment was prescribed, and by the end of 
the week much improvement had taken place in the eye and in the 
general condition of the dog. I am, however, making no hasty prog- 
nosis, although the case is doing wonderfully well. This is a good 
example of how quickly corneal ulcers and keratitis will appear even 
in the absence of any purulent discharges, and how early they may 
appear in the disease, 
II. Gastro-Intestinal Symptoms.—There are many 
symptoms associated with the “abdominal” or “digestive” 
type of the disease, foremost of which is probably loss 
of appetite; although many cases are to be met in which 
the hunger and sprightly activities of the dog are in no 
wise abated—even throughout the course of a mild 
attack. 
