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

By J. L. C. Martin-Doyle and Martin H. Kemp (Auth.)

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T R E A T M E N T : Local steroid therapy is worth a trial. 3. Disciform Keratitis: This is a central grey infiltration in the middle layers of the corneal stroma. It is nearly always unilateral. It often has a 'target' appearance with a very dense 'bull's-eye'. Sometimes it is associated with a small hypopyon. It runs a chronic course without very much irritation, but it always leaves a permanent opacity with corresponding visual impairment. It is not amenable to treatment. PATHOLOGY: Uncertain, but there are two theories: a.

E. Dark glasses are essential. DISEASES O F T H E CORNEA 35 / Everything possible for the general health of the patient should be done—good food, vitamins, fresh air, etc. g. Late visual defects due to corneal scarring may be improved with contact lenses or corneal grafting but there is often an associated chorioretinitis. 5. Filamentary Keratitis: This is not strictly an infiltration of the cornea. During the course of a superficial keratitis dying filaments, consisting of shreds of epithelium, become partly detached from the cornea.

Fanconi's Syndrome (Cystine Disease): This rare complaint is due to dysfunction of cystine metabolism which first manifests itself in infants about 9 months of age. The signs and symptoms are renal dwarfism associated with thirst, vomiting, glycosuria and photophobia. Cystine deposits occur in various organs of the body and they appear comparatively early in the disease in the eye. They may occur in the conjunctiva, the lens, the iris and especially the cornea. The lesions are usually too small to be seen with the naked eye, but are characteristic when viewed with the slit-lamp.

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