CONJUNCTIVA IN HEALTH AND DISEASE 
'43 
Case 
3 
4 
5 
6 
7 
9 
io 
1 1 
1 2 
Organisms Isolated ' 
B. lacunatus. Staphylococcus aureus. B. xerosis. Pseudo-diph- 
theria bacillus. 
B. lacunatus. 
B. lacunatus. 
B. lacunatus. 
B. lacunatus. 
xerosis. 
B. lacunatus. 
B. lacunatus. 
Staphylococcus epidermidis albus and aureus. B. 
Staphylococcus aureus. 
B. xerosis. 
Staphylococcus albus and epidermidis albus. B. xerosis. 
B. xerosis. 
B. xerosis. Staphylococcus albus. 
The bacillus has been met with frequently in children, but always complicating 
granular lids ; it was isolated nine times from conjunctivae apparently healthy. On 
a few occasions a bacillus closely resembling it has been observed in blepharitis in 
the discharge around the eyelashes. 
Biard 3 states that the diplo-bacillus is never present in the normal conjunctival 
sac, but is a constant inhabitant or the nasal fossa, and he concludes that infection 
takes place either by direct extension or by transference by means of the fingers. 
Morax 52, and Axenfeld 2, simultaneously and independently described a diplo- 
bacillus which they isolated from subacute cases of conjunctivitis. Axenfeld also 
found it in acute cases. Eyre 8 found the bacillus in many cases of conjunctivitis in 
which the chronicity of the inflammation and the contagious nature of the discharge 
were marked. He states that both sexes, and all ages, are susceptible, but that it is 
most common in middle-aged women. The objective signs were slight, being confined 
to a little mucus-like discharge adhering to the roots of the eyelashes and collecting 
in the neighbourhood of the caruncle, also slight injection of the bulbar conjunctiva, 
and marked injection of the palpebral conjunctiva with an erythematous fringe along 
the free edge of the lower lid. 
X. Affections of the Lachrymal Sac 
Only five cases of swelling of the lachrymal sac have been met with. Two 
were cases of mucocele in which the contents were clear and viscid ; three were cases 
of acute purulent dacryocystitis. 
In brief, the results of the bacteriological examination were as follows : — 
Case 
I 
Mucocele 
Koch-Weeks bacillus. Staphylococcus epidermidis 
albus. 
Koch-Weeks bacillus. Staphylococcus pyogenes albus. 
Pseudo-diphtheria bacillus. 
