If the tumour is large and of old standing it may be requisite to cut out an elliptical or circular portion of its conjunctival wall.
There are risks on the one hand of a most unseemly exophthalmos with divergent squint, and on the other of a retraction of the semilunar fold, so that the sub-conjunctival operation is always preferable.
This portion of the operation is concluded by the formation of a conjunctival flap a line and a half or two lines in length.
The real damage could not be estimated, as the patient never returned after the muscle was clipped off close to its conjunctival insertion.
Upon examination of the lid, no opening could be made out where the sting had penetrated, and a minute inspection of the conjunctival surface with a good glass failed to reveal any foreign substance.
Conjunctival hemorrhage has been noticed as a manifestation of vicarious menstruation by several American observers.
It remained lodged two weeks without causing any pain or symptoms, and subsequently worked itself forward, contained in a perfect conjunctival sac, in which it was freely movable.
The pain was accompanied by intense conjunctival congestion and photophobia [Dr.
There was no lachrymation nor conjunctival congestion, and nothing to remark in any way about either eye.
Dilatation of the conjunctival vessels was observed in thirty-four cases.
The common causes of ordinary or conjunctival ophthalmia are the sudden exposure of the organ to a cold easterly wind, to dust, gritty particles, or to any external irritation or injury.
The treatment of mild cases of conjunctival ophthalmia is extremely simple.
On the supposition that this insufficient result might be caused by the suture of the conjunctival wound I decided to repeat the separation of the internal rectus.
The needle is then passed through the external canthus from the conjunctival surface and fastened by tying it over a roll of paper.
I decided, therefore, on a second operation, not without fearing an excessive result, and performed tenotomy of the left internal rectus with a very smallconjunctival wound and by closing the wound by means of a suture.
Therefore, on July 1st, the right internal rectus was also divided, with small conjunctival wound without loosening of the conjunctiva and without suture.
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.
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.
The corneal and conjunctival reflexes were diminished, and the knee-jerk was unobtainable on the right side.
Sometimes the contracture will yield, but only in the deepest sleep, outlasting even the conjunctival reflex and the reactions to pricking of the normal extremities.
He showed pharyngeal and conjunctival anesthesia and concentric limitation of the visual fields of unusual degree, and a remarkable hypalgesia.
The knee-jerks were obtained with difficulty, the Achilles jerks were lively; the throat and conjunctival reflexes were absent; the abdominal and cremasteric reflexes were lively.
Pupillary responses were lively, but the swallowing reflexes were diminished, and the corneal and conjunctival reflexes were absent.
Bodily examination revealed the absence of conjunctival and pharyngeal reflexes.
Next day the skin swelling and the conjunctival emphysema had disappeared.
Early in December the fields of vision were contracted; polyopia and a glaring and burning sensation before the eyes (after each test conjunctival and tear duct inflammation).
Re diagnosis of hysterical fits, the absence of facial cyanosis, sub-conjunctival hemorrhages, petechiae of skin, and the Babinski reflex are suggestive for hysteria.
Fracture of the margin of the orbit results from a direct blow, and is followed by circum-orbital and sub-conjunctival ecchymosis, and sometimes is associated with paralysis of the optic nerve, or of the other ocular nerves.
Fracture of the anterior fossa is often accompanied by extravasation of blood into the orbit, pushing forward the eyeball and infiltrating the conjunctiva (sub-conjunctival ecchymosis).
Sub-conjunctival ecchymosis, and some degree of exophthalmos, are almost always present.
The treatment of conjunctival hyperaemia consists first in the removal of the cause when it can be discovered.
When a conjunctival hyperaemia has existed for some time the papillae become swollen, and small blebs form on the surface of the membrane: sometimes too, lymph follicles begin to show.
In true conjunctivaldiphtheria the exciting cause is the Klebs-Loffler bacillus.
In it the conjunctival secretion is not altered, unless there should exist at the same time a complication with some other form of conjunctivitis.
The disease takes its origin most frequently in the conjunctival fold of the upper lid, but eventually as a rule involves the corna and the deeper tissues of the lid, particularly the tarsus.
Conjunctival diphtheria may or may not be associated with diphtheria of the throat.
A form of epidemic muco-purulent conjunctivitis is not uncommon, in which the swelling of the conjunctival folds and lids is much more marked and the secretions copious.
An important diagnostic mark is thus furnished between purely conjunctival hyperaemia and what is called circumcorneal congestion, which is always an indication of more deep-seated vascular dilatation.
Traumata, the presence of foreign bodies in the conjunctival sac, or the irritations of superficial chalky infarcts in the Meibomian ducts, cause more or less severe transitory congestion.
The entire conjunctival surface seemed insensible to repeated pinching with the fixation forceps.
A 4 per centum solution was freely brushed over the entire conjunctival surface three times, at intervals of ten minutes, and the operations were commenced in forty minutes after the first application.
The advisability of removing theconjunctival flap, as advocated by Dr.
The conjunctival flap is now replaced and a bandage applied.
The advantages of the protection afforded by a conjunctival flap far outweigh the disadvantages of a remotely possible interference of drainage by the blocking of the open wound withconjunctival tissue.
The conjunctival flap thus formed is turned back over the cornea, and the fragment of sclera that is left attached to the cornea is removed by means of a fine pair of delicate curved scissors.
As far as the Lagrange procedure is concerned, you will remember that after eserinization an oblique incision is made through the sclera by means of a narrow Graefe knife and a large conjunctival flap secured.
McCallan has seen a number of instances of striking increase of intra-ocular tension following this instillation in theconjunctival sac.
It should be remembered that the Schneiderian membrane is midway in sensitiveness, as it is in location, between the conjunctival and buccal surfaces, and is readily irritated by strong applications.
There have also been observed opacity of the cornea, sloughing of the conjunctival epithelium, suppurative infiltration into the periphery of the vitreous body, and deposits of pus in Petit's canal and in the anterior and posterior chambers.
The eyes, if injected, have a | The blood in the conjunctival light red or pinkish color.
I have seen one or two cases of recent conjunctival ophthalmia treated by the application of this Lykion, with speedy relief and cure.
It is the aim and object of every ophthalmic surgeon to make such wounds into the globe as will become rapidly shut off from the conjunctival sac.
Escape of the aqueous beneath the conjunctiva usually occurs about the third day, owing to the conjunctival wound having healed without the opening into the globe being properly shut off.
The spatula is then withdrawn and the conjunctival flap is replaced in position.
Retraction of the caruncle is best avoided by closing the conjunctival wound with a stitch, and thus pulling the caruncle forward.
The conjunctival stitch may be removed on the fourth day, but the stitches holding the advanced muscle in position should not be removed till after the tenth day.
If the vitreous be lost or one of the phenomena previously mentioned occurs after the delivery of the lens, the speculum should be removed from the eye and the conjunctival flap replaced in position as quickly as possible.
A corresponding, slightly larger, area is similarly removed from the under or conjunctival surface of the upper lid (Fig.
The conjunctival sac should be washed out with boric lotion and a pad of cyanide gauze applied over the closed lid.
In a case of doubt, it is wiser to discontinue the anæsthetic until the conjunctival reflex returns, when it can easily be demonstrated whether the facial nerve is affected or not.
Though the disease usually commences in the conjunctival lining of the eyelids, the external coverings of the ball are often secondarily affected.
Abrasion of the conjunctivalcovering of the cornea is produced by accident, or follows incited action of the vessels.
In conjunctival inflammation, the patient first feels a degree of pain and stiffness in moving the organ; and has always a feeling as if a foreign body were present, whether such is the case or not.
Immediately after birth the conjunctival lining of the eyelids seems unusually red and turgid, and a great degree of swelling soon takes place, so as to render separation of the eyelids very difficult.
Nebula is superficial, and consists of mere thickening of the conjunctival covering, from lymph having been effused.
But in this state of matters, should the lid be by any chance everted, and not replaced, then the bulging is from the conjunctival surface, and prevents the margin from regaining its former site, and permanent eversion or ectropion occurs.
Inflammation of the internal parts of the eyeball sometimes supervenes on conjunctival inflammation, and then the distinctive characters of the two affections are not perceptible.
Illustration] Entropion, or inversion, consists in the turning in of the tarsal margins of the lids, and generally takes place during inflammation and swelling of the conjunctival lining of the lid.
These occur beneath the conjunctival lining of either the upper or under lid, but most frequently in the former.
Albugo of corneæ in both eyes, the result of an attack of acute conjunctival ophthalmia, which she had about two years ago, whilst residing in Dundee, where various means were tried for her relief.
Suffered for many years past from a disease combining the characters of conjunctival and sclerotic ophthalmia.
The sub-conjunctival ecchymosis, however, persists for several weeks and disappears like other extravasations.
Similarly with the functions of respiration and nictitation--their establishment follows the stimulation by air of the respiratory or conjunctival mucosa.
Palpebral tics are among those that ordinarily begin by a spasmodic reaction to an extraneous source of irritation, such as that yielded by a foreign body, a speck of dust, an eyelash, or by any form of conjunctival inflammation.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "conjunctival" in a variety of sentences. We hope that you will now be able to make sentences using this word. Other words: combining; connecting; uniting
