By N R Galloway,SpringerLink (Online service)
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Additional info for Common eye diseases and their management
In these cases, there is nearly always some purulent discharge, which can be expressed from the tear sac by gentle pressure with the index ﬁnger over the medial palpebral ligament. The mother is shown how to express this material once or twice daily and is instructed to instil antibiotic drops three or four times daily. This treatment alone can resolve the problem and many cases undoubtedly resolve spontaneously. Sometimes it is necessary to syringe and probe the tear duct under a short anaesthetic.
This common type of entropion is called spastic entropion and it can be promptly cured without leaving a visible scar by minor eyelid surgery. Entropion can also be seen following scarring of the conjunctival surface of the eyelids and one must mention, in particular, the entropion of the This commonly seen outward turning of the lower eyelid in the elderly is eminently treatable and responds well to minor surgery. Senile ectropion can begin with slight separation of the lower eyelid from the globe, and the malposition of the punctum leads to overﬂow of tears and conjunctival infection.
Focal illumination of corneal foreign body. caused by the dilatation of the deeper episcleral capillaries, which lie near the corneal margin. Ciliary injection is a sure warning sign of corneal or intraocular pathology. Treatment The aim of treatment is, of course, to remove the foreign body completely. Sometimes this is not as easy as it might seem, especially when a hot metal particle lies embedded in a “rust ring”. In instances when it is clear that much digging is going to be needed, it can be prudent to leave the rust ring for 24 h, after which it becomes easier to remove.
Common eye diseases and their management by N R Galloway,SpringerLink (Online service)