62 
FR. BLAZEKOYIC, 
the secretion becoming more and more normal, until finally at¬ 
taining its normal grade. These are phenomena accompanying a 
favorable course of blepharoblennorrhce; also, such is seldom its 
course. As a rule the disease causes profound disturbances of a 
part or the whole of the visual apparatus, leading, in most cases, 
to loss of sight when we are not able to check the inflammation 
before attaining its full development. 
The lethality of the blennorrhoic processes are of themselves 
not so important—yes, might be even said to be insignificant, 
were it not for the severe corneal complications, and those of 
the profoundly situated visual apparatus, which present them¬ 
selves in the course of the disease. 
The consequences of an excessive inflammation, such as cloud¬ 
ed cornea, cicatrices in same, phthisis of cornea, pannus, syne¬ 
chia of the iris, corneal staphiloma, and phthisis bulbi, give evi¬ 
dence of the severity of the same. All these conditions come to 
pass more or less as complications, and in concrete connex with 
the primary disturbance, at one time combined with the ble- 
pharo, and at another with the ophthalmo-blennorrhoe, all com¬ 
bined representing the characteristics of the disease. By blc- 
pharo-blennorrhce the processes extending very easily to the 
cornea, in most cases a large lenticular or semi-lunar or roundish 
portion of the cornea, generally in its periphery, being the seat 
of the affection ; this same is at first more or less diffuse, but in 
a day or so its limits become more marked, it begins to degene¬ 
rate, softens, and finally becomes transformed to a puriform 
mass. By means of these processes is generated an ulcerous 
surface with greyish-yellow ground and peripheries, and in in¬ 
clination to complicate the deeper seated elements of the cornea. 
These ulcerated spots give way to a conformable treatment, not¬ 
withstanding the purulent, infiltrated condition of the elements 
immediately adjoining, leaving cicatrices frequently in the cor¬ 
nea, in some cases prolapsus iridis; frequently, small, circum¬ 
scribed, sero-lymphatic effusions remain, which are frequently 
accompanied by vascularization. Idiopathic intracorneal effu¬ 
sions, sometimes quantitatively insignificant, may be observed as 
further complications; in other cases, atelectasis of the corneal 
