In keratitis sulcata inycotica the best therapeutics consists in mildly antisep tic and soothing applications. If these prove inefficient, in addition to anti septic washes with 1-per-cent. biehloride solution, eserine-vaselin (20 - per - cent. strength) should be smeared into the conjunctival sac, as recommended by Emmert. Makrocki (Zehender's klin. Monats. f. Augenh., March, '90).
A. 4-per-cent. solution of common salt, used subcoi4junctively, found quite as effective as the different solutions of cor rosive sublimate in the treatment of cor neal ulcers. Wood White (Birmingham Med. Bev., Jan., '96).
Forman]) found to give excellent re sults in the treatment of infecting ulcers of the cornea and in purulent conjuncti vitis. The strength to be employed as a collyrium is from 1-1000 to 1-2000. Bur nett (Ophthalmic Record, March, '96).
The pain of keratitis is commonly lessened by instillations of atropine or other mydriatics. It may also be miti gated by brief applications of very hot water to the eye, or the internal use of acetanilid, morphia, or codeia in small doses. It is temporarily relieved by co caine. But this should never be pre scribed, because the after-effects are alto gether bad; and the temporary relief it affords tempts tbe patient to frequently repeat the applications, each of which aggravates the disease. The new local anoesthetic, holocaine, is less likely to be harmful when used in this way, and it has a decidedly antiseptic action; but whether it is entirely safe is yet to be de termined. The best cure for pain is, in general, the cure of the condition caus ing it. It is in this way that physos tigmine (eserine) quickly relieves the chronic very painful shallow ulcers that occur at the margin of the cornea in elderly people, with chronic catarrhal conjunctivitis. Photophobia may be lessened by tbe wearing of dark glasses and the avoidance of sudden changes to a bright light. But it grows rapidly
worse if the patient be confined to a dark room; and the confinement is likely to react unfavorably on his general phys ical condition. Of course, during an active keratitis the eyes should, as far as possible, be allowed to rest.
For the cure of bypopyou. keratitis the instillation of a solution of sulphate of eserine, 2 grains to 1 ounce, and the con stant application of a bandage. together with general tonic treatment highly recommended. Manche (Brit. Med. Jour.. Jan. 17, '91).
In a ease of recurrent keratitis super ficialis punctata the use of cocaine caused au increase in the severity and duration of the attack. Bronner (Brit. Med. Jour., June IS, '92).
Importance of ciirecting treatment to the conjunctiva in cases of keratitis em phasized, even where the corneal condi tion seems to be predominating. Two in stances of severe corneal lesion were cured only when a slight follicular con junctivitis, which WAS present, was ac tively treated. Trousseau (Archives d'Ophtal., March, '96).
New treatment of nypopyon which consists in dropping into the eye a 4 grain solution of atropine once every other day or second day, and a casual bathing of the eye with hot water or A little boric acid. combined with the ad ministration of mercury and potassium iodide taken internally, and pilocarpine. given hypodermically. `flie treatment t ? lit I, -.111t, mid ha, -q.v., .1 1,, t, t til t Fa rid !Titer t - t I in Of In' di,ea`a.1.1 I %1 ill at Ila-a gri.:11 or .0'1.4.'0. ter ? thin 1kt ol her mot hod-, I he .t.. t.t1 tinitortti retlIoN al t he lit .11 1.11 It .N nnd I Ile Of any in in 111,11.1 ja led Witt) t ti It ...II went (:. II. IturnhamI .tn“ t. Pee. P.m.21.