EYE DISEASES : HERPETIC DISEASES OF THE CORNEA (HERPES CORNEAE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. The disease is a violation of the trophic corneal, apparently, on the ground of damage to the Central nervous system. It is not excluded the assumption of the viral nature of the disease.
The pathogenesis. Of great importance febrile illness (malaria, influenza, pneumonia), inflammation of the nasal mucosa, lowering the resistance of the epithelium of the cornea.
Symptoms. Eye irritation, pain. Small vesicles in the epithelium; they quickly explode into a small gray ulcers and infiltrates, sometimes connected to each other winding gray lines. Loss of tactile sensitivity of the cornea.
For. Beginning sometimes acute. Occurs usually for a long time and often recurs. Complicated by a secondary infection.
Recognition is not difficult due to the presence of anesthesia of the cornea, sensory disturbance of the skin in the whole area of distribution of the first branch of the trigeminal nerve. Is also characterized by the presence of painful points on the wing of the nose and on the skin of the forehead and cheeks.
Inside aspirin, quinine. Locally drops of quinine, over the mortgage held xeroform ointment overnight; tissue therapy - subconjunctival injections of aloe on the way Filatov. Is also used ultraviolet irradiation (lamp Birch-Girshfeld for 5 minutes 2 - 3 times a day directly on the corneal infiltrates), radiotherapy or treatment rays Bucca. Citral. Sometimes in severe cases it is recommended scraping the corneal epithelium with a sharp spoon. In some of the most severe cases, a good effect is the treatment for a long period of sleep.