Part 5

PLATE NO. XIIA Stage of resolution after severe burning.

The vascular injection is passing off, the solid oedema is becoming absorbed, and the corneal epithelium has regained its normal lustre. In this stage the use of atropine should be discontinued.

PLATE NO. XIIB Late stage of resolution.

The earlier vascular injection above and below the cornea has practically disappeared; the solid white oedema has been absorbed, and the conjunctiva in the palpebral aperture now shows definite injection, often of a bright violet tint. The entire picture has changed, so that the parts which were red in the acute stage are now white and the part which was formerly white is now red. This drawing would illustrate equally well the condition that may follow immediately on a very slight exposure to the irritant gas, when only a slight central band of red injection develops instead of the bloodless state of white oedema that is caused by the more severe burns.

At this stage atropine and shades should be abandoned. Astringent drops should be instilled and photophobia combated with cold douching, &c., while fresh air and occupation will help to restore the general health of the individual and mitigate any tendency to neurasthenia.

PLATE NO. XIIIA Drawing of the cornea in the acute stage of severe burning.

This corresponds with Plate No. XIA. The exposed central area shows grey haze and loss of lustre on its stippled surface, which gradually fades off to the bright lustrous normal surface in the part above that has been protected by the eyelid. Injection of the conjunctival vessels is seen only in relation to this upper and less burned area.

PLATE NO. XIIIB Drawing of cornea in the stage of resolution after severe burning.

The cornea is now smooth and bright with a clear light reflex on its surface. But some grey superficial nebulae are seen in the centre, and these may persist for several weeks. The injection of the conjunctival vessels is now limited to the central band.

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TRANSCRIBER’S NOTES

● Typos fixed; non-standard spelling and dialect retained. ● Enclosed italics font in underscores. ● Subscripts are shown using an underscore () with curly braces { }, as in H{2}O.