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Updated: June 16, 2025
Shortly after this his right eye was wounded by a knife, causing traumatic cataract, which was extracted by Sir William Wilde, giving the man good sight for twelve years, after which iritis attacked the right eye and produced a false membrane over the pupil so that the man could not work. It was in this condition that he consulted Williams, fourteen years after the loss of the left eye.
The eye waters and is hypersensitive, the iris is discoloured and reacts sluggishly to light, and there is a zone of ciliary congestion around the cornea. The appearance of minute white nodules or flakes of lymph at the margin of the pupil is especially characteristic of syphilitic iritis.
They may be briefly classified as: 1. Those that cause a partial or complete closure of the lymph spaces and Schlemm's canal by cicatrical contraction, as in sclero-keratitis. Those that cause obstruction to the lymph spaces at the filtration angle by the deposition of fibrin or cellular elements, as in iritis, hemorrhage into the anterior chamber, etc.
No line of demarcation can be drawn between them, except by reserving the term of glaucoma for cases that depart from the pure type, terminating in glaucoma of some other kind, which is no more significant than the passage of a conjunctivitis into a keratitis, or an iritis into a glaucoma.
Of hard stones the only kinds that can be distinctly assigned to Persia Proper are the iritis, a species of rock-crystal; the atizoe, a white stone which had a pleasant odor; the mithrax, a gem of many hues, the nipparene, which resembled ivory; and the the lycardios or mule, which was in special favor among the natives of the country.
Craniotabes is recovered from as the child improves in health. Between the ages of three and six months, certain other phenomena may be met with, such as effusion into the joints, especially the knees; iritis, in one or in both eyes, and enlargement of the spleen and liver.
It commences as a diffuse haziness or steaminess near the centre of the cornea, and as it spreads the entire cornea assumes the appearance of ground glass. The chief complaint is of dimness of sight, which may almost amount to blindness, but there is little pain or photophobia; a certain amount of conjunctival and ciliary congestion is usually present, and there may be iritis in addition.
In the treatment of iritis the eyes are shaded from the light and completely rested, and the pupil is well dilated by atropin to prevent adhesions. If there is much pain, a blister may be applied to the temple. The Relations of Syphilis to Marriage.
I am pleased, therefore, when I find so able and experienced a practitioner as Dr. Williams of this city proving that iritis is best treated without mercury, and Dr. Vanderpoel showing the same thing to be true for pericarditis.
"The old way adding to all the old mummeries of the most mumming of all professions medicine! That dates back to bats' wings and toads' livers as cure for the spleen. But at least and at last he said it was iritis?" "Yes. He told me that I might gradually lose one eye which was true. He thought the trouble might advance to the other eye. It came out that way. He must have known."
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