No abstract

NOv. 23., 197. ORGANIC SILVER PREPARATIONS IN CONJUNCTIVITIS. tC ORAL 1475 the'past-two years, in spite of treatment; "Six years ago the eyes were similarly affeoted.. The pregent, atack has lasted fQr a month.the.hJldkpindoors.all.day; _theaxmarkd conjunctivitis and pbptopbobla,. but no rhinorr4oea. There Is no famaily history of tubercle-, bqt of-Iten stillborn children. The eyes showed largelphlyctenulae.4 She was treated in the usual way, and recovery was complete in a few days.A. C. came with all-the symptpma of a severe chronic catarrhal conjunctivitis, oomglicated by. the p esence, of a septic ulcer on the left cornea. Shelgave a history of sore eyes for the previous year, but they had probablybeen In this condi--tion for a longer period, rs most of the cilia were missing, and some of those present were distorted. She was treated with boracic lotien, atropine and fomentations, with the result that in three weeks the uicer was healed and the conjunctivitis much lessened, but then some, phlyetenular ulcers were seen on the outer side of the limbus of the left eye, thus showing the nature of the previous ulcer. A week later these ulcers, three in number,, were markedly raised up from the surface of the conjunctiva and gave the appqarance of tubercles rather tban phlyetenulae, The treatment 'as indicated for this con- made.very'sglht1improvement, so she was admittled, but, even then the ,oithnresisted obstinately all our remedies. both local and' general ; she was given cod-liver oil, syrup of phosphate ofirqs1, eyrnp of iodide of iron, and virol, alteraately with no benefit ; locally, atropine, both in solution and in ointment, was applied, hot and cold bathing, dionine by itself and in combination with the previous drug, but all to no purpose; fiially, adrepa ctlutioutwa appliely..bj, itself.; this,trnod the scale, and in a fortnight-the eyes improved considerably, -so that after two months' sojourn, in the hospi.tal it was possible to send her to a convalescent home ; now she has very llttle photophobia, no lacrymation, in fact is almost well, but is still using dionine for-the corneal nebulae.Ophthalmia Neogonorum. This is a purulent type of conjunctivitis found in the mewborn, in which the coDjunctiva shows a marked papillary development, and in which thre-is... seldom4any 4signs of scarring on recovery. The cause of this complaint in the great majority of instances is that micrococcus described by Nelsser in: .1879, and known as. the Diplococcus gonorrhoeae; it is easily stained with methylene blue, and is decolorized by Gram's method. This micro-.Coccus is unique in being able to penetrate intact epithelium, hence the importance of early and.careful treatment. 'The.other micro-organisms concerned are the pneumococci, streptococci, Bacter'um.coli, and otbers. The usual mode of infection is that during the birth of, the child -some.vginal secretiQn gets into the palpebral sacs, but definite cases. During the past year a series of experiments have been performed with these preparations and with sil...