The commoner diseases of the eye : how to detect and how to treat them . ecting the cornea, whichusually becomes involved early in the disease. Frequently accompanying phlyctenular con-junctivitis is an eczematous eruption behind theears, on the face and at the corners of the mouthand nose. The cervical lymphatic glands arecommonly enlarged. The child generally pre-sents a strumous appearance. Blepharitis is fre-quently present and fissures are likely to form atthe outer angle of the lids. The ocular conjunc-tiva is usually congested, especially when a num- ISO COMMOXER DISEASES OF THE EYE ber
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The commoner diseases of the eye : how to detect and how to treat them . ecting the cornea, whichusually becomes involved early in the disease. Frequently accompanying phlyctenular con-junctivitis is an eczematous eruption behind theears, on the face and at the corners of the mouthand nose. The cervical lymphatic glands arecommonly enlarged. The child generally pre-sents a strumous appearance. Blepharitis is fre-quently present and fissures are likely to form atthe outer angle of the lids. The ocular conjunc-tiva is usually congested, especially when a num- ISO COMMOXER DISEASES OF THE EYE ber of phlyctenules are scattered over the con-junctival surface. Where there are only one ortwo pimples the injection is confined to a leashof blood vessels running to the phlyctenule. The phlyctenule consists of a small, solid, red-dish elevation, made up of a collection of lymph-oid cells beneath the epithelial layer of the con-junctiva. In a short time the epithelium becomesdestroyed and an ulcer forms. The phlyctenuleusually appears on the conjunctiva in close prox-. Phlyctenular Conjunctivitis. (De Schweinitz.) imity to the corneal margin and as a rule thedisease extends to the cornea forming ulcers, adescription of which will be given later. Freshattacks frequently occur, new phlyctenules ap-pearing on other portions of the conjunctiva be-fore the first outbreak has disappeared. As longas the disease is confined to the conjunctiva itis not serious, so far as interference with visionis concerned. It is usually found in children of the poorerclasses who are badly nourished and brought up COMMONER DISEASES OF THE CONJUNCTIVA 181 in unhealthy surroundings, and may be regard-ed as an eczema of the eye due to an attempt ofnature to get rid, in an eruptive fashion, ofsome morbid blood product. Treatment.—The general health should becarefully attended to. The diet should be regu-lated, giving the child plenty of fresh milk andes^s. Meat should not be allowed more than