OPHTHALMY. 
the eye, &c. So nly a p 
n near the external or internal commiffure, run- 
ning horizontally towards the cornea. When thefe veffels 
d reach this laft membrane, the patient has no com- 
plaints, excepting a weeping of the eye, anda fenfation of 
i it proceeded from the lodgment of 
But, in certain 
confiderable impediment to vifion. This cafe, the ophthalmia 
varicofa of {urgical writers, is very obftinate, and can feldom 
be relieved without an operation: it is for the moft part a 
interwoven with 
numerous fmaller or larger blood- veHlels, either at its whole 
circumference, or elfe merely in the vicinity of either angle, 
the veffels being plainly more or lefs diftinguifhable from one 
another. At the fame time the patient has a burning fen- 
{ation in his eye, and in general there is a copious effufion 
of tears. Though this kind of inflammation is not violent, 
it is far from being unimportant. e more numerous the 
red veffels are, the lefs diftin€ they are from one another ; 
and the more uniformly red the eye appears, the more fevere 
is the eat he whole of the white of the eye is bape 
mafs of 
inflammations of the eyes at laft terminate in i chronic form 
of the complaint. The attacks both of acute and chroni 
and the diforder is then termed Serres os pe varieties 
ifeafe permit us 
u with aes a ae 
e caufe fometimes pro- 
as , fometimes a aie! 
on of the 
in 
n 
ord initances 
the change from the chronic to the acute form of the com 
plaint is equally bad. Although ceca Sphthalmiee are 
generally not attended with much danger of the fight beng 
manila yet they are ordinarily more di sree of cure than 
cafes, becaufe their caufes are for the moft = ex. 
ted, inveterate, and not e eat ily 
mplic 
phthalmies are like wife diftinguifhed mto, feveral kinds, 
h 
mida: 
acrid and i eee or enti <s free from . hurtful cuales. 
In particular inftances the inflamed e m 
rately dry nor moift, The fti 
operating upon fecreting organs, increafes the » 
he veffels ; 
races of the dry kind are moft apt to bring on 
fuppuration of the eye; while fuch cafes as are accompanied 
with 
. Sometimes the mflamed eye is 
covered with thick purulent matter, which, in the night- 
time, glues the eye-lids together,.a part of it becoming hard, 
and adhering to the eye-lafhes. This cafe is termed the 
ophthalmia purulenta. In this example, the Meibomian glands 
at the edges of ihe eye-lids are particularly affected, and 
fecrete the purulent matter. e moft ese dittine- 
tions of ophthalmy are fou se a caufes of the 
difeafe, and of thefe notice will be es in {peaking of the 
mode of treating particular cafes. 
n the treatment of ophthalmy, there are feveral indica- 
tions to be fulfilled. The moft important one is founded 
curative indications may alfo be fo. 
rial indication is that arifing the charater of the dif- 
order, which being inflammatory, of courfe demande anti- 
us degrees of violence, the difference 
inflammation, the patient’s a 
Although thele laft ‘fhould not interfere: with 
chee means of cure, they often point out wleful ila 
meafure 
We ‘hall follow Richter, and fir offer-fome: general ob. 
fervations on the treatment of ophthaliny, and afterwards 
fpeak of the mode of curing each particular fpecies of the 
iforde¥. the phthalmy, 
d pain, ev 
oo from the igh and a which a@ as imali, fo as to 
increafe the inflammation, and prove particularly detri- 
mental, the light aecne alfo a great deal of pain. The © 
ufual bandage, aera of a comprefs laid over the eye, 
and faitened with a fillet, fulfils the aes but yet it is 
apt io co comprels and ates the eye. e comprefe foon 
becomes wet with the tears which are cae and the 
eye and adjacent parts are kept continually in a moifk ftate, 
which, in eertain cohen efpecially the acrid humid cafe, 
is very hurtful. Richter thinks the propofal of putting 
the 
