242 
J. A. COUTURE. 
is 7 years old, 16 hands, and is used mostly as a saddle horse. 
She was bought in January, 1893, and was passed as sound bj 
a veterinary surgeon. In the course of the summer of 1893 
she suffered from what the veterinary surgeon called scar¬ 
latina and la grippe. In August of the same year she had 
her first attack of periodic ophthalmia ; it affected the left 
eye. She was apparently well after a couple of weeks. From 
that time she had attacks of the same affection every four oi; 
six weeks, the disease changing from one eye to the other. 
In the spring of 1894 she was shown to a human oculist who,i 
after a superficial inspection, declared that there was nothing 
serious, and prescribed a weak solution of carbolic acid to 
the eyes. The patient was brought to me for the first time 
on December 15, 1894. She was suffering from one of her 
attacks. 
Clinical Examination .—She is in good condition, pulse and 
temperature normal. The right eye is much inflamed, weep¬ 
ing, photophobia, very painful to pressure. There is a grey-! 
ish white deposit opposite the pupil so that the latter is hardly 
visible. With close inspection it is seen contracted, elliptic in 
form. When a lighted candle is passed before the eye, only 
one light is reflected, showing that the deposit exists in the 
anterior chamber. It is found impossible to examine that 
eye with the ophthalmoscope, as the e) 7 elids are closed the 
moment the rays of light are directed into the organ. 
Diagnosis .—Iritis of specific form. 
Prognosis. — Doubtful. I will examine the patient with 
ophthalmoscope as soon as possible, and will then give a 
definite opinion. 
Treatment. —Obscurity, warm fomentations to the eye, 
solution of cocaine (5 per cent.), three drops placed in the 
eye every 6 hours; solution of atropin (1-250), three drops in 
the eye every 6 hours. Frequent applications of following 
collyrium : Corrosive sublimate, alcohol, (100), distilled water, 
(900). _ U 
A fortnight after all inflammation has disappeared, so has 
the deposit in anterior chamber. The patient is then thor¬ 
oughly examined so as to enable me to make a correct and 
definite diagnosis and prognosis. 
