The treatment of mild cases of conjunctival ophthalmia is extremely simple. In general, it may be relieved by fomentations of warm water or decoction of poppy-heads and the use of aperient medicines, to which leeches and cupping may often be added with advantage.
“To apply a lotion to the eyes,” writes Dr Gardner, “the best way is to use a large camel’s-hair pencil or brush. Fill it with the lotion, draw down the lower lid, and apply the brush; the fluid will now come out of it into the eye.
“In order to get it well within the upper lid, move the latter up and down, and the whole surface will be wetted. This is important, because the usual way of applying lotions to the inside of the eye is very inefficient, if not entirely useless. The brush should be washed in warm water after using it.”[68]
[68] ‘Household Medicine.’ Smith, Elder, & Co.
In cases where the inflammation is very severe, the pain very acute, or the vision in the slightest degree impaired, as well as in those accompanied by a discharge of matter or pus, no time should be lost in seeking the services of the oculist.
Animals.—All animals are liable to attacks of catarrhal or common ophthalmia, which may originate from various causes, such as exposure to cold, influenza, or the presence of foreign substances, such as bits of chaff, the husks of oat, small seeds, &c.
In horses, in addition to the above, it may be caused by a blow from the whip. In animals affected by it the eye becomes watery and half closed, the membrane looks thickened, and the eye is frequently bloodshot. If due to the presence of any foreign body this must be removed, either by means of the fingers, a handkerchief, or a camel’s-hair brush, or, if necessary, by the forceps.
The treatment consists in bathing the eyes with tepid milk and water, after which an alum or zinc lotion may be applied. A mild physic ball should also be administered.
Ophthalmia, Purulent. This dreadful disease, which, like the above, is a form of inflammation of the mucous membrane of the eye, differs from ordinary ophthalmia in being accompanied with a discharge of pus, too frequently terminating in total and irrecoverable blindness of one or both eyes, and in being very contagious.
Purulent ophthalmia is very prevalent in India, Persia, and Egypt, and from the circumstance that large numbers of our troops were affected with it on their return from the campaign in Egypt, in the beginning of the present century, before which time it was unknown in England, it acquired the name of “Egyptian ophthalmia.”