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lar conclusion was reached by other investigators in working with the avian and porcine types of tubercle bacilli several years ago, and was reasonably to have been expected with the h
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nd Frothingham in Dresden, but they were inclined to attribute to the avian tubercle bacillus the cause of the peculiar lesions of enteritis which they observed. In 1904 Markus reporte
which it forms about the posterior five-sixths, being coextensive with the
larger sphere already mentioned. The cornea forms the remaining one-sixth
of the outer tunic, being coextensive with the segment of the smaller
sphere. It is distinguished from the sclerotic by being colorless and
transparent. The choroid coat will be recognized as the black layer lying
subjacent to the sclerotic. It does not line the cornea, but terminates
behind the line of junction of that coat with the sclerotic by a thickened
edge--the ciliary processes. At the line of junction of the sclerotic and
cornea the iris passes across the interior of the eye. This (which may be
viewed as a dependency of the choroid) is a muscular curtain perforated by
an aperture termed the pupil. The retina will be recognized as a delicate,
glassy layer, lining the greater part of the choroid.
The refracting media of the eye are three in number, namely (1) the aqueous
humor, a watery fluid inclosed in a chamber behind the cornea; (2) the
crystalline lens and its capsule, a transparent, soft solid of a biconvex
form, and placed behind the iris; (3) the vitreous humor, a transparent
material with a consistence like thin jelly, and occupying as much of the
interior of the eye as is subjacent to the choroid.
The sclerotic is a strong, opaque, fibrous membrane, which, in a great
measure, maintains the form of the eyeball and protects the more delicate
structures within it. Its interior portion, which is covered by the ocular
conjunctiva, is commonly known as the "white of the eye." In form it is
bell-shaped, and the optic nerve pierces it behind like a handle, the
perforation being a little to its inner side. In front, the rim of the bell
becomes continuous with the cornea. The outer surface of the membrane
receives the insertion of the muscles of the eyeball. The coat is thickest
over the posterior part of the eyeball, and is thinnest a little behind its
junction with the cornea.
The cornea is the anterior transparent portion of the outer coat of the
eyeball. It may be viewed as a part of the sclerotic specially modified to
permit the passage of light into the interior of the eye. Its outline is
elliptical, nearly circular, and its greatest diameter is transverse. At
its periphery it joins the sclerotic by continuity of tissue, and as the
edge of the cornea is slightly beveled and has the fibrous sclerotic
carried for a little distance forward on its outward surface, the cornea is
generally said to be fitted into the sclerotic like a watch glass into its
rim. The venous canal of Schlemm runs circularly around the eyeball at the
line of junction of the sclerotic and cornea. The anterior surface of the
cornea is exquisitely smooth, and is kept moist by the lacrimal secretions.
Its posterior surface forms the anterior boundary of the chamber in which
the aqueous humor is contained. The cornea is of uniform thickness and is
of a dense, almost horny, consistence. Save a few capillary loops of blood
vessels at its margin the cornea is without vessels. Its structure is
comprised of five distinct layers.
The aqueous humor occupies a chamber which is bounded in front by the
posterior surface of the cornea and behind by the capsule and suspensory
ligament of the lens and by the ends of the ciliary processes. It is across
this chamber that the iris extends. The aqueous humor is composed of water,
with a small proportion of common salt in solution.
The iris is a muscular, pigmented curtain extending across the interior of
the eye and having about its center an aperture termed the pupil. By
variations in the size of this aperture the amount of light transmitted to
the retina is regulated. It varies somewhat in color, but is most
frequently of a yellowish-brown tint. Its anterior face is bathed by the
aqueous humor. The greater part of the posterior surface is in contact with
the capsule of the lens and glides on it during the movements of the
curtain. The circumferential border is attached within the junction of the
sclerotic cornea. The inner border circumscribes the pupil, which varies in
outline according to its size. When much contracted the pupil is a very
elongated ellipse, the long axis of which is in the line joining the nasal
and temporal angles of the eyelids. It contains muscular tissue, which, by
contracting or relaxing, lessens or dilates the pupillary opening.
The choroid coat is a bell-shaped, dark membrane which lines the sclerotic.
Its outer surface has a shaggy appearance, caused by the tunica fusca,
which unites the two coats. Between the two the ciliary vessels and nerves
pass forward. Behind it is pierced by the optic nerve; in front it is
continued as the ciliary processes, which form, as it were, the rim of the
bell. The ciliary processes form a fringe around the slightly inverted rim
of the choroid.
The retina is the most delicate of the coats of the eyeball. It is formed
by the expansion of the optic nerve on the inner surface of the choroid,
and, like that coat, it is bell-shaped. Its inner surface is molded on the
vitreous humor. The nervous structures of the retina terminate at a wavy
line, the ora serrata, behind the ciliary processes. Ten distinct layers
are described as composing the thickness of the retina.
The lens is situated behind the pupil and is contained within a capsule of
its own.
The capsule is a close-fitting, firm, transparent membrane. The anterior
surface forms the posterior boundary of the cavity containing the aqueous
humor, and the iris in its movement glides on it. The posterior surface is
in contact with the vitreous humor.
The vitreous humor occupies four-fifths of the interior of the eyeball. It
is globular in form, with a depression in front for the lodgment of the
lens. It is colorless, transparent, and of a consistency like thin jelly.
It is enveloped by a delicate capsule--the hyaloid membrane--which is
connected in front with the suspensory ligament of the lens, and ends by
joining the capsule behind the lens.
The orbital cavity, at the side of the head, is circumscribed by a bony
margin; posteriorly, however, there are no bony walls, and the cavity is
often confounded with the depression above and behind the orbit--the
temporal fossa. A fibrous membrane completes this cavity and keeps it
distinct from the temporal fossa. This membrane--the ocular sheath or
periorbita--is attached posteriorly around the opening in the back part of
the orbital cavity (the orbital hiatus) and anteriorly to its inner face;
then it becomes prolonged beyond the margin to form the fibrous membrane of
the eyelids. When complete the orbital cavity has the form of a regular
hollow cone, open at its base and closed at the apex. The opening of this
cone is directed forward, downward, and outward. Independently of the globe
of the eye, this cavity lodges the muscles that move it, the membrana
nictitans, and the lacrimal gland.
The muscles of the eye are seven in number--one retractor, four straight,
and two oblique. The retractor oculi envelops the optic nerve between the
brain and the ball of the eye and becomes attached upon the external face
of the sclerotic tunic. When this muscle contracts, it draws the globe back
into the orbit, away from the light. The superior, inferior, external, and
internal recti or straight muscles are attached to the back part of the
orbital sheath and spread forward in four bundles over the globe of the
eye, where they are inserted by a fibrous expansion into the sclerotic at
the margin of the cornea. When they act singly, they turn the globe either
upward, downward, inward, or outward. The great oblique, by its action,
pivots the eye inward and upward in the orbit. The small oblique turns the
eye outward and downward.
The eyelids are two movable curtains, superior and inferior, which cover
and protect the eye in front. They are attached to the circumference of the
orbit and have a convex external face formed by the skin and a concave
internal face molded on the anterior surface of the eye and are lined by
the conjunctiva, which is reflected above and below on the eyeball. The
border of each lid is slightly beveled on the inner side and shows the
openings of the Meibomian glands. These glands secrete an unctuous fluid,
which is thrown out on the border of the lids, the function of which is to
facilitate their movements and enable them to retain the tears in the
ocular cavity. The eyelid is composed of a fibrous inner membrane ending in
a stiff arch near the border, a muscle to close the lid, another to open
it, the skin externally, and the conjunctival mucous membrane internally.
The border of each lid is covered and protected by long hairs to prevent
floating particles of matter in the atmosphere from gaining entrance to the
eye.
The membrana nictitans, which is also named the third eyelid, winking
eyelid, haw, etc., is placed at the inner angle of the eye, whence it
extends over the eyeball to relieve it from foreign bodies which may fall
upon it. It has for its framework a fibro-cartilage, irregular in shape,
thick, nearly prismatic at its base, and thin anteriorly where it is
covered by the conjunctiva; behind, it is loosely attached to a fatty
cushion.
The lacrimal gland is situated between the orbital process and the upper
part of the eyeball. It secretes the tears destined to lubricate the
anterior surface of the eye. This fluid escapes upon the organ at the outer
angle of the lids and is carried between them and the eyeball toward the
inner angle.
The caruncula lacrimalis is a small round body, frequently entirely or
partially black, situated in the inner angle of the eye, and is designed to
direct the tears toward the puncta lacrimalia.
The puncta lacrimalia are two little openings, situated one in each eyelid,
a short distance from the inner corner, which admit the tears into the
lacrimal ducts leading to the lacrimal canal, whence they are emptied into
the nasal passages.
CONJUNCTIVITIS (SIMPLE OPHTHALMIA).
This is an inflammation of the conjunctival mucous membrane of the eyeball
and lids; in severe cases the deeper coats of the eye are involved,
seriously complicating the attack.
_Causes._--It may result from a bruise of the eyelid; from the introduction
of foreign matters into the eye, as chaff, hayseed, dust, gnats, etc.; from
exposure to cold; poisonous or irritating vapors arising from filthiness of
stable. Dust, cinders, or sand blown into the eyes during transportation
frequently cause conjunctivitis.
_Symptoms._--A profuse flow of tears, closure of the eyelids from
intolerance of light, retraction of the eyeball and corresponding
protrusion of the haw, disinclination to move, diminution of milk
secretion, etc. On parting the lids the lining membrane is found injected
with an excess of blood, giving it a red and swollen appearance; the
sclerotic, or white of the eye, is bloodshot and the cornea may be cloudy.
If the disease advances, keratitis results, with its train of unfavorable
symptoms.
_Treatment._--Careful examination should be made to discover particles of
chaff, etc., which may have lodged in the eye, and upon the discovery of
such a cause prompt removal is indicated. This may be accomplished by
flushing the eye with warm water by means of a syringe, or, if the foreign
substance is adherent to the eyeball or lid, it may be scooped out with the
handle of a teaspoon or some other blunt instrument. To relieve the
congestion and local irritation, a wash composed of boracic acid in freshly
boiled water, 20 grains to the ounce, or acetate of zinc, 5 grains to the
ounce of pure soft water, may be used, to which may be added 20 drops of
laudanum. A few drops of this should be placed in the eye with a
camel's-hair pencil or soft feather three or four times daily. The animal
should be placed in a cool, darkened stable; then a cloth folded into
several thicknesses should be fastened to the horns in such manner as to
reach below the eyes. This should be kept wet with cold water during the
day and removed at night. If there is much fever and constitutional
disturbance, it becomes advisable to administer 1 pound of Epsom salt
dissolved in 1 quart of water.
INFECTIOUS CATARRHAL CONJUNCTIVITIS (SPECIFIC
OPHTHALMIA).
This generally appears in an enzootic or epizootic form and affects a
considerable number in the herd. It is distinctly a contagious disease and
may be brought into a previously healthy herd by one infected animal. It
may continue in a herd for a season or for several years, affecting all
newly purchased animals. It is seldom seen in the winter months. It affects
old and young animals alike.
_Symptoms._--This form of catarrh conjunctivitis is characterized chiefly
by a mucopurulent discharge from the eyes, an intense degree of
inflammation of the mucous membrane, accompanied with swelling of the
eyelids and an early opacity of the cornea. The flow of tears is mixed with
pus, sometimes streaked with blood, and the skin of the face is kept moist
and soiled. The eyes are kept continually closed. The implication of the
cornea in the disease frequently blinds the animal for a time, and
occasionally suppurative keratitis, ulcers of the cornea, or staphyloma
supervene. The attack is marked from the onset by fever, partial loss of
appetite, partial loss of milk, suspended rumination, and separation from
the herd.
_Treatment._--The animal should be housed in a cool, dark stable, supplied
with plenty of fresh water to drink and soft, succulent feed. Administer 1
pound of Epsom salt--if a very large animal, use 1-1/2 pounds--dissolved in
2 or 3 pints of water. For an eyewash, take boracic acid, 1 dram, and pour
4 ounces of boiling water over it. Use this as often as is convenient,
applying it directly to the eye. In the majority of cases improvement
becomes manifest in a few days, and the eye becomes clear and free from
inflammation in 10 days or 2 weeks. Where the disease develops ulceration
of the cornea, or well-marked, deep-seated keratitis, the treatment
recommended for those conditions should be adopted.
_Prevention._--Whenever this affection appears in a herd all the unaffected
animals should be moved to fields which possess a different character of
soil and feed. The water should also be changed, especially if they have
been obtaining it from a stagnant pond.
KERATITIS (CORNEITIS).
This is an inflammation of the cornea proper, although the sclerotic at the
corneal border becomes involved to some extent. It may be divided into
diffuse and suppurative.
_Causes._--The cornea constitutes the most prominent portion of the
eyeball, hence it is subject to a variety of injuries--scratches, pricks,
contusions, lacerations, etc. Inflammation of the cornea may also be due to
the extension of catarrhal conjunctivitis or intraocular disease, and it
may occasionally occur without any perceptible cause.
_Symptoms._--Diffuse keratitis is characterized by an exudation into and an
opacity of the cornea. The swelling of the anterior part of the eyeball may
be of an irregular form, in points resembling small bladders, or it may
commence at the periphery of the cornea by an abrupt thickening, which
gradually diminishes as it approaches the center. If the whole cornea is
affected, it has a uniform gray or grayish-white appearance. The flow of
tears is not so marked as in conjunctivitis, nor is the suffering so acute,
though both conditions often exist together. Both eyes usually become
affected, unless it is caused by an external injury.
In favorable cases the exudate within the cornea begins to disappear within
a week or 10 days, the eye becomes clearer and regains its transparency,
until it eventually is fully restored. In unfavorable cases blood vessels
form and are seen to traverse the affected part from periphery to center,
vision becomes entirely lost, and permanent opacity (albugo or leucoma)
remains. When it arises from constitutional causes recurrence is frequent,
leaving the corneal membrane more cloudy after each attack, until the sight
is permanently lost.
Suppurative keratitis may be a sequel of diffuse keratitis; more commonly,
however, it abruptly becomes manifest by a raised swelling on or near the
center of the cornea that very soon assumes a yellow, turbid color, while
the periphery of the swelling fades into an opaque ring. Suppurative
keratitis is seldom noticed for the first day or two--not until distinct
pus formation has occurred. When it is the result of diffuse keratitis,
ulceration and the escape of the contained pus is inevitable; otherwise the
pus may be absorbed. When the deeper membranes covering the anterior
chamber of the eye become involved, the contents of this chamber may be
evacuated and the sight permanently lost.
_Treatment._--Place the animal in a darkened stable, give green or sloppy
feed, and administer 4 ounces of Glauber's salt (sulphate of soda)
dissolved in a quart of water once a day. If the animal is debilitated a
tablespoonful of tonic powder should be mixed with the feed three times a
day. This may be composed of equal parts by weight of powdered copperas
(sulphate of iron), gentian, and ginger. As an application for the eye,
nitrate of silver, 3 grains to the ounce of soft water, with the addition
of 1 grain sulphate of morphia, may be used several times a day. If
ulceration occurs, it is well to dust powdered calomel into the eye twice
daily, or apply to the eyelids a salve of yellow oxid of mercury, 5 per
cent in lanolin. Some of this may go on to the cornea and beneath the lids.
Apply twice daily. (See "Ulcers of the cornea.")
To remove opacity, after the inflammation has subsided, apply a few drops
of the following solution twice a day: Iodid of potassium, 15 grains;
tincture sanguinaria, 20 drops; distilled water, 2 ounces; mix.
Sometimes keratitis exists in a herd as a transmissible disease, spreading
like infectious conjunctivitis. Calomel, applied to the eye, is especially
useful in such cases.
ULCERS OF THE CORNEA.
An ulcer comes from erosion or is the consequence of the bursting of a
small abscess, which may have formed beneath the delicate layer of the
conjunctiva, continued over the cornea; or, in the very substance of the
cornea itself, after violent keratitis, or catarrhal conjunctivitis. At
other times it is produced by bruises, scratches, or other direct injury of
the cornea.
_Symptoms._--The ulcer is generally at first of a pale gray color, with its
edges high and irregular, discharges instead of pus an acrid, watery
substance, and has a tendency to spread widely and deeply. If it spreads
superficially upon the cornea, the transparency of this membrane is lost;
if it proceeds deeply and penetrates the anterior chamber of the aqueous
humor, this fluid escapes, the iris may prolapse, and the lens and the
vitreous humor become expelled, thus producing destruction of the whole
organ.
_Treatment._--It is of the greatest importance, as soon as an ulcer appears
upon the cornea, to prevent its growing larger. The corroding process must
be converted into a healthy one. For this purpose nothing is more reliable
than the use of solid nitrate of silver. A stick of this medicine should be
scraped to a point; the animal's head should be firmly secured; an
assistant should part the lids; if necessary, the haw must be secured
within the corner of the eye and then all parts of the ulcer should be
lightly touched with the silver. After waiting a few minutes the eye should
be thoroughly washed out with a very weak solution of common salt. This
operation generally has to be repeated at the end of three or four days. If
healthy action succeeds, the ulcer assumes a delicate fleshy tint, and the
former redness around the ulcer disappears in proportion as the ulcer
heals.
In superficial abrasions of the cornea, where there is no distinct
excavation, this caustic treatment is not needed. The eye should be bathed
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