ff 



INFLAMMATION OF THE SCLEBOTIG COAT. 363 



parts of water), to be applied with a brush, and calomel as a 

 powder blown from a quill directly on the eye. The author has 

 obtained very satisfactory results with hot fomentations of boric 

 acid (3 parts to 100). These should be applied three times daily, 

 ten minutes at a time. They are far 

 better than cauterizations with nitrate of ^'^°- ™- 



silver or painting with aniline. 



Besides the antiseptic treatment we /f 

 can use atropine or eserine solution, of 

 which a few drops are put in the eye. 

 The first-named agent should be applied 

 when the ulcer is located centrally, as Eye-cap. 



it dilates the iris, and consequently the 



pupil is enlarged, and the latter when the ulceration is located 

 on the borders, as it contracts the pupil and draws it away from 

 the seat of irritation. The iris is dilated or contracted by these 

 drugs and removed from the neighborhood of the ulcer, so that 

 if the perforation does occur the iris will be drawn far enough 

 out of the road to prevent any adhesion. 



Good results have been obtained with cocaine, alternating with 

 atropine : 



R. — Atropine sulphate 0.1 



Aqua destil. 10.0 



M. S. — -In order to produce a dilatation of the pupil we must intro- 

 duce five drops of this remedy into the conjunctiva, drop by drop, 

 by means of a brush or a dropper. 



R.' — Eserine salicylate 0.05 



Aqua destil 10.0 



M. S. — To be used like the atropine solution. 



When a keratocele is developed we may prevent rupture by 

 puncturing the membrane with a needle and allowing the water in 

 the chamber to escape. In prolapsus and adhesion of the iris we 

 can do very little, as it is impossible to push back the iris into place. 



We must dust it with calomel ; at the same time we may reduce 

 the enlargement by means of nitrate of silver, sulphate of copper 

 solutions, or a powder of oxide of mercury blown on the eyeball. 

 If we have an iris staphyloma, it is best to remove it carefully by 

 means of the scissors. 



We must try to remove any spots on the sclerotic membrane by 



