BLENNORRHCE OF THE EYES. 
65 
nous pseudo-membrane. If the inflammation recedes still more, 
we find the conjunctival surface covered with a yellowish exu¬ 
date, which in course of the disease becomes transformed to a 
purulent, flocculent mass. An excessive keratitis is always pre¬ 
sent. Sphacelus corneas is a frequent complication by this dis¬ 
ease, which seems to indicate the highest grade of the same. 
The further changes have already received consideration when 
speaking of blepharo-blennorrhoe. The latter may sometimes 
come ontogenetically to development, without leading to the 
more severe disturbance, while the ophthalmo-blennorrhce is char¬ 
acterized by the acuteness and severity of its eruption and the 
severe lesions which it leaves behind. Trochoma of the conjunc- 
tivae deserve our further attention. An idiopathic eruption of 
the same, as observed by mediciners, has not come to my notice, 
they only appearing as an accompaniment of blennorrhce, being 
one of the chief characteristics of the same. 
THERAPIC. 
Before I became thoroughly acquainted with the very malig¬ 
nant character of the disturbances in question, I had made experi¬ 
ments with about all the medicaments recommended for such, and 
as a rule, received only negative results. Argent, nitricum has 
proven to be the most active combatant in my hands. Cuprum 
sulfuric also gave positive but far less satisfactory results. At 
present the lethally ending cases in my practice do not exceed ten 
per cent, which is a very favorable comparison with all former at¬ 
tempts at treatment. As soon as we have correctly diagnosticated 
the presence of a blennorrhse, it matters not which form, our first 
duty is to ascertain the dignity of the disturbances which have 
thus far been produced. If the disease is limited to the conjunc¬ 
tive, and the cornea uncontaminated, the trocoma deserve bur 
first attention ; they are frequent difficult of diagnostiation when 
excessive inflammation is present. In such cases one can help him¬ 
self with a small hand-glass. These granules, as well as the en¬ 
tire conjunctival surface, without regard to the grade of the di 
sease, must be intensively corroded with Ag. N0 3 . This must take 
