Detachment of the Choroid. 405 



In the suppurative form there is early profuse lachrymation 

 more or less tinged with blood, and later oozing of pus from be- 

 tween the lids. The redness and swelling of the conjunctiva 

 and lids are very prominent features, and if the lids can be sepa- 

 rated the corneal or scleral orfice may be seen oozing pus. If 

 visible at all, the anterior chamber shows yellowish opaque con- 

 tents, and the symptoms of panophthalmitis supervene. 



Treatment of the exudative form is essentially the same as 

 for iritis. Atropia lotions with or without cocaine, also astrin- 

 gents, which may be used warm, and generally purgatives, 

 diuretics, local bleeding, cupping, and counter-irritants are in 

 order. In obstinate cases ointment of the yellow iodide of mer- 

 cury, and in cases of extra tension puncture of the cornea may 

 be the means of relief. Colargol or pyoktanin is a safe anti- 

 septic. Iridectomy may be advantageous under careful anti- 

 septic precautions. In case of extensive or general suppuration 

 {■panophthalmitis) enucleation of the eye may be the only resort, 

 and may contribute to save the other eyeball. (See Panophthal- 

 mitis. ) 



DETACHMENT OF THE CHOROID. 



The choroid is detached from the sclera by exudates, blood 

 effusions, or blows with blunt articles. The lesion is especially 

 common in recurrent ophthalmia, choroiditis, and cyclitis. The 

 ophthalmoscope will show the detached portion as a rounded 

 elevation on the otherwise smooth concave surface, with normal 

 or diminished intraocular tension. A tumor of the choroid is 

 usually associated with increase of tension. After inflammation 

 has been subdued these cases may be left to rest and time, and 

 will often recover through absorption of the exudate. Rupture 

 of the choroid from violence is to be similarly dealt with. 



