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

ISBN-10: 1483231038

ISBN-13: 9781483231037

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VII. WOUNDS OF T H E CORNEA T h e treatment o f corneal wounds depends upon three factors : — ( 1 ) E x t e n t o f t h e w o u n d ; ( 2 ) Site of t h e w o u n d ; and ( 3 ) P r e sence or otherwise of complications. 1. Extent of the Wound m a y v a r y from a puncture t o a severe laceration i n v o l v i n g the whole cornea and e v e n extending t o the sclera. 2. —It is obvious t h a t a central lacerated w o u n d w o u l d produce a more severe visual impairment than one in which the pupillary area is left intact.

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.

I n addition, therefore, t o the important function o f breaking d o w n adhesions i t gives the internal muscles o f the e y e some degree o f freedom from m o v e m e n t in the same w a y t h a t a splint gives rest t o skeletal muscles. A s previously mentioned in the chapter on DISEASES OF THE CONJUNCTIVA, atropine sometimes produces a severe and unavoidable irritation in certain persons w h o h a v e an idiosyncrasy t o the drug. I f this occurs i t should be replaced b y lachesine 1 per cent, ACUTE 2.

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

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