A Synopsis of Ophthalmology by J. L. C. Martin-Doyle (Auth.)

By J. L. C. Martin-Doyle (Auth.)

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T h e anterior surface of the ciliary b o d y is hidden. C I L I A R Y M U S C L E . — A f e w unstriped muscle-fibres are found in the epichoroid near the equator. These increase g r e a t l y in the ciliary region b o t h in number and size. T h r e e distinct series of muscle-fibres are present : — 1. MERIDIONAL FIBRES lie most externally and are attached to the scleral spur—sometimes called the ' t e n s o r choroidese'. W h e n these fibres contract t h e y pull on the scleral spur and exert a pumping action on the canal o f Schlemm.

A t r o p i n e must be used t o p r e v e n t synechiae. e. I n cases w i t h marked corneal anaesthesia, tarsorraphy should be performed. / . Chloromycetin has p r o v e d o f great value in this condition. IV. DEGENERATIONS T h e r e are six principal degenerative conditions : ( 1 ) B a n d o p a c i t y ; ( 2 ) Arcus senilis ; ( 3 ) Arcus juvenilis ; ( 4 ) Marginal atrophy ; ( 5 ) Pannus degenerativus ; ( 6 ) Franconi's syndrome. 1. B a n d O p a c i t y . — T h e name given t o characteristic changes which appear in the interpalpebral gap o f old, blind, shrunken eyes.

S Y P H I L I S . 2. G O N O R R H Œ A . 48 DISEASES OF THE UVEAL TRACT A c u t e Iritis—Aetiology, continued. 3. 4. 5. 6. 7. An F O C A L SEPSIS. TUBERCULOSIS. DIABETES. RHEUMATISM. BEHCET'S SYNDROME. endeavour should be made t o exclude all these factors in a n y g i v e n case, but it must be a d m i t t e d t h a t in m a n y cases all investigations made t o exclude the a b o v e conditions h a v e p r o v e d n e g a t i v e . S i g n s a n d S y m p t o m s . — S e v e r e pain in and around the e y e , w i t h photophobia and lacrimation.

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