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136 CASES ILLUSTRATING THE TREATMENT.
red, the conjunctiva injected, the vessels in the sclerotic part of it
enlarged and shooting towards the cornea. On examining the
cornea, I found a wound close over the horizontal diameter, and a
little to the outer side of the pupil. The wound did not now
present the appearance of a cut, but had spread on all sides, and
was somewhat larger, than an ordinary pin’s head. The edges
were irregular and seemed turned up. There was a slight discharge
of pus, much lachrymation and photophobia ; the pupil was very
dilated and fixed ; it was not round but uneven. All the branches
of the fifth nerve responded very painfully to friction.
Progress and Treatment. —I gave vibrations on the eye, and
frictions over the branches of the fifth nerve. I had to pursue
the treatment for about twenty to twenty-five minutes before the
pain entirely disappeared. As the lotion had done no good, I
told her to discontinue it, to keep the eye covered, and to
abstain from work.
Dec. 14:th. The pain came back later on, during the night,
but only very slightly. She slept fairly well. The swelling and
redness of the eyelids were greatly reduced ; the injection of
the conjunctiva, both on lids and eye, was also considerably
diminished. The pupil reacts only slightly and sluggishly. On
looking at a strong gaslight only little pain is felt.
Dec. 15th. Pain in the eye completely gone. None during the
night. Upper lid nearly normal ;
injection of eye less than on
preceding day ;
pupil reacts better ; wound in cornea healed
up.
Dec. IQth. jN’o lachrymation; eye clear; can read ordmary
newspaper print.
After a week’s treatment she was able to do needle-work
without difficulty or pain.
Treatment during all days, excepting the first, lasted ten
minutes in the forenoon, five minutes in the evening. On the
15th I also gave nerve vibrations on the eye itself (fig. 40).
The treatment was continued for some days longer, and was
given only in the evening for a few minutes.
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