66 
FR. BLAZEKOVIC. 
place, altliough gangrsena threatens. The entire conjunctival sack 
must be subjected to this treatment, regardless of conditions 
present. In consequence of the combination of the silver with 
chlor. and albumen, the corrosion is soon followed by the forma¬ 
tion of a thin membrane on the surface of the conjunctivae, and 
a profuse lachrymal secretion. By this means a part of the dis¬ 
solved salts is worked away. The eye must now be washed with 
a previously prepared solution of Na. Cl. in order to completely 
neutralize any remnants of the Ag. N0 3 , The eye must now 
be antiphlogistically treated with ice, for the next twelve to 
eighteen hours. If the inflammation does not relax, the same must 
be continued longer. If the inflammation has mostly disappeared 
and there are still to be seen exudate-masses on portions of the 
conjunctivse, the same must be treated as before with Ag. N0 3 > 
Na. Cl. and ice-cataplasms. Such a course soon overcomes the 
inflammation, the infiltration and exudate disappearing and the 
eye returning in a short time to its normal condition. Sclerotic 
or swollen places on the conjunctive, often remain without in¬ 
terfering with the sight. The conditions are not so favorable 
when the cornea is also complicated. In such cases the same 
treatment with Ag. N0 3 must be at once introduced, and the 
ulcerated places carefully pencilled. Ice-cataplasma must also 
follow. 
Cases come to pass when the cornea seems almost destroyed, 
and the eye as apparently lost, yet even in such we must not 
neglect to use the Ag. N0 3 repeatedly and perseveringly, but 
with due precaution until cicatrization appears. In such cases, 
one must always observe the condition of the conjunctiva. Fre¬ 
quently improvement begins after the second, and in some cases 
after the first corrosion, and the eye recovers in two or three days. 
In other cases, the condition is more obstinate, and the disturb¬ 
ances more excessive, and we are necessitated to resort to the cor¬ 
rosive ten or twelve times. One must endeavor to prevent, as far 
as possible, the clouding of the cornea; but I must especially em¬ 
phasize, that it is highly disadvantageous to waste time in com¬ 
batting the same, in the hope that the inflammation will relax, for 
before that time, the intra-corneal exudate would have coagulated. 
