Théa Pharma
Ophthalmology - Wessely´s Atlas
 
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Vaccina of the Lids

A well nourished and generally healed child of 1 ¼ years - vaccinated 8 days ago. On the right upper arm are four markedly developed pustules. The parents have noticed that the right eye has been swollen shut for three days. Probably the vaccine has been brought into contact with the lids of the right eye either directly by the child itself or by the mother in wiping off the superfluous lymph. The lids are no swollen with edema, bluish red in color, and covered along their inter-marginal areas by closely situated, large and small, round or oval, smooth ulcerations, and a white slimy exudate. The skin of both the lids, well into the inner canthus, is also covered by numerous pustules, which, in their form, their yellow color, and their umbilicated centers are characteristically those of vaccinia. The cornea is clear. The preauricular gland is greatly swollen. - Cleanliness and the prevention of further extension constituted the treatment. Recovery was smooth. From: Wessely K. Stereoskopischer Atlas der Äusseren Erkrankungen des Auges. 4er Lieferung/Bild 40. München: JF Bergmann Verlag, 1931.

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Metallic Foreign Body in the Anterior Chamber

A few hours ago, a metal tack, almost 1 cm long, penetrated the right eye of this 28 years old seamstress, as she was nailing a paper molding. A doctor made an attempt at extraction with a pair of forceps and then directed the patient to the clinic. At the lower pole of the corneo-scleral margin is the wound of entrance, somewhat widened and soiled as the results of the above unsuccessful manipulations. The metal must first have penetrated from below upward and outward into the anterior chamber, for little external to the center is a circumscribed area of swelling and opacity in the cornea - the result of injury to its posterior surface. The foreign body, itself, then fell into the anterior chamber a little toward the nasal side, and now lies diagonally on its floor. - Inasmuch as the foreign body was steel, its extraction through the wound of entrance by means of the giant magnet was easy. Healing with normal vision. From: Wessely K. Stereoskopischer Atlas der Äusseren Erkrankungen des Auges. 4er Lieferung/Bild 39. München: JF Bergmann Verlag, 1931.

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Department of Ophthalmology of the University Erlangen-Nürnberg, Germany
Edited by A. Bergua MD
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