60 VETEKINAKY OPHTHALMOLOGY. 



one of acute trachoma, when sulphate of copper crys- 

 tal may be used until the cure is complete. When the 

 granulations are large and numerous, they may be 

 torn out and destroyed by forceps, and as this is a very 

 delicate operation great care is to be exercised. Th& 

 lid being everted, the granules are stripped off. As 

 may be readily appreciated, the reaction is superb, and 

 is to be carefully treated with' ice, antiseptics, etc. 

 To do this, jj,n anaesthetic should be used. Now, in 

 simple chronic blennorrhoea, or chronic conjunctivitis, 

 do not use the above infusion. The results are apt 

 to prove disastrous. 



Phlyctenular Conjunctivitis. (Pimple, Gr.) — This 

 form is characterized by a small yellowish-red eleva- 

 tion, or phlyctenule, on the summit of which a serous 

 vesicle forms, which vesicle bursts, and leaves a small' 

 ulcer. One or several of these bodies may be pres- 

 ent, and are generally situated near the raai-gin of the 

 cornea. Duration about ten days ; but there always 

 is great tendency to relapse. The injection of the con- 

 junctiva may be general or partial. A triangular leash 

 of vessels runs up to each phlyctenule, with its base 

 pointing toward the retrotarsal fold. The appearance- 

 of the phlyctenule is attended by pain, which is burn- 

 ing ; photophobia and lachrymation. Often associated 

 with phlyctenular keratitis. 



Treatment. — Particular attention is to be paid to the- 

 general condition. Atropine 1 to 120. In some cases,. 



