CONJUNCTIVA IN HEALTH AND DISEASE 135 
An interesting fact observed many times, is that, with approaching convalescence 
from inflammatory states, this bacillus is found sometimes in the discharge in very 
large numbers. 
A striking instance ot this was seen in an infant recovering from muco-puru- 
lent catarrh, whose mother (case 1 1) suffered from granular lids. When first examined 
the discharge consisted mainly of fibrin, and contained very few organisms. Seven 
days afterwards the small amount of whitish discharge which was obtained practically 
consisted of xerosis bacilli. 
In one case of granular lids a typical appearance of xerosis of the conjunctiva 
was noticed. 
The part the bacillus plays in the several processes ot the eye has yet to be 
determined, but the observation is well-founded that the diminution of inflammation 
seems to be the signal for the growth of the xerosis bacillus. 
The other organisms found in catarrhal ophthalmia with small granules were 
not constant in their incidence, and occurred in the healthy eye and in other 
inflammatory conditions. 
Table II 
Granules Large (True Trachoma) 
No. 
Age 
Sex 
Amount of 
Discharge 
Organisms 
I 
2^ years 
Female 
Large 
Koch-Weeks bacillus. Staphylococcus albus and aureus 
2 
Female 
Large 
Koch-Weeks bacillus 
3 
1 3 years 
Male 
None 
One or two slender bacilli. B. xerosis 
4 
Female 
Small 
One or two slender bacilli. B. xerosis. Staphylococcus 
pyogenes albus 
5 
2 years 
Male 
Scanty 
B. xerosis. Staphylococcus epidermidis albus. No. 3, 
Table IV (Part I) 
6 
2 1 mths. 
Male 
Small 
B. lacunatus (Eyre). Staphylococcus pyogenes albus and 
citreus. No. 3, Table IV 
7 
7 years 
Male 
Large 
B. lacunatus (Eyre). B. xerosis. Staphylococcus pyogenes 
aureus and albus 
8 
3 + >' ears 
Female 
Small 
Pseudo-diphtheria bacillus (No. 5, Table IV) 
9 
1 6 years 
Female 
Scanty 
B. xerosis. Staphylococcus pyogenes albus 
10 
1 2 years 
Female 
Scanty 
B. xerosis. Sarcina lutea. Streptococcus brevis 
1 1 
2 1 years 
Male 
None 
B. xerosis (enormous numbers) 
12 
zh years 
Male 
Scanty 
B. xerosis. Staphylococcus epidermidis albus 
