Part 74

Symptoms.--Orbital abscess is manifested by a pushing forward of the eyeball (exophthalmos), a swelling of the conjunctiva and eyelids. The bulging out of the eye is in proportion to the size of the abscess; the movement of the eye is fixed, due to the painfulness of any voluntary movement of the eyeball. Periorbital abscess generally pushes the eye to one side; otherwise the symptoms are similar to the foregoing. The pain generally is very great; paralysis of the nerve of sight may occur, and death may be caused by the abscess extending to the brain.

Treatment.--The treatment for either orbital or periorbital abscess is the same as that for abscess occurring in any other part of the body--a free opening for the escape of imprisoned pus. This should be made as soon as the true nature of the disease is recognized. Afterwards antiseptic injections may be needed to stimulate healthy granulation and to prevent septic infection of the ocular membranes. For this purpose a saturated solution of boric acid or listerine 1 part to 10 of water may be used. When the fever runs high, Glauber's salt (sulphate of soda) may be given in 4-ounce doses once a day. The animal should be kept in a darkened stable, on soft or green feed.

FRACTURE OF THE ORBIT.

This accident occasionally occurs among belligerent animals, or as the result of blows delivered by brutal attendants. The orbital process above the eye may be entirely crushed in, pressing down upon the eyeball. In such an event the depressed bone should be elevated into its proper place, and if it fails to unite it may have to be removed with saw or chisel. The margin of the orbit may be crushed at any point and cause periorbital abscess, or necrosis may result from the presence of a splinter of bone or the excessive destruction of bone. In all cases of fracture the animal should be kept by itself until the injured part heals.

NECROSIS OF THE BONY ORBIT.

As the result of fracture of the margin of the orbit a part of the injured bone may become necrosed (dead), and periostitis and periorbital abscess will follow as a consequence. The discovery of this disease will at first resemble abscess, but on making an examination with a probe after the abscess is open we find the bone rough and brittle at the point of disease. The discharge has a peculiar fetid odor, and is often mixed with blood.

Treatment.--The affected bone must be laid bare and all diseased portions removed by scraping or, if necessary, with saw or chisel, disregarding the extent of the injury or the size of the wound necessary to be inflicted. A large portion of the bony orbit may be removed without serious danger to the eye, provided the eyeball itself has not been previously affected by the disease or involved in the original injury.

TUMORS OF THE ORBIT.

A fungous tumor of the eyeball or orbit occasionally appears, which is designated fungus hÊmatodes. This may arise without any appreciable cause, or as the result of a wound. It frequently commences within the eyeball as a small, red mass, eventually bursts through, and pushes its way outside the orbit as a large, dark-red mass, bleeding at the slightest touch. It has a peculiar, fetid odor, and early in its appearance destroys sight, involving all the contents of the orbit, not infrequently the bony wall itself.

Unless the tumor is totally removed in its early stage of growth, together with the eyeball, the disease will eventually cause emaciation and death of the animal. The enucleation of the eyeball should not be undertaken by anyone unacquainted with the anatomical structures involved in such an operation. When the operation is performed early enough the result is generally satisfactory.

Bony tumors of the orbit, the result of bruises, fractures, etc., are occasionally present in cattle. They may encroach upon the contents of the orbit, causing paralysis of the optic nerve--the condition known as amaurosis--or by pressure upon the posterior surface of the eyeball force it forward, or produce atrophy (shrinking). They may displace the eye in any direction, with or without disturbing vision.

Fibrous tumors growing within the orbit will produce symptoms similar to those of bony tumors.

Treatment.--When the outlines of the tumor, whether fungoid, bony, or fibrous, can be detected, an operation for its removal should be undertaken as soon as the sight of the eye is in any manner disturbed.

DISLOCATION OF THE EYEBALL.

The eyeball may be torn out of its socket by the horns of another animal, or it may be crowded out with the blunt end of a club, cane, or probe in the hands of a brutal attendant.

Treatment.--When the optic nerve is not lacerated and the retractor muscles at the back of the eye are intact, an attempt at reduction is advisable. This, however, must follow very soon after the injury--before swelling takes place. Divide the outer corner of the eyelid to enlarge the orifice, then by pressure with the fingers of both hands placed upon the sides of the eye the ball may be put into its place. Apply a firm compress over the injured eye and keep it constantly wet with cold water containing 1 dram of sugar of lead to each quart.

If the attempt at reduction proves unsuccessful the artery at the back of the eye should be ligated, and then the whole mass cut off as deep within the orbit as possible. The orbital cavity, after washing it out with a 3 per cent solution of carbolic acid or compound cresol, should be packed daily with fresh absorbent cotton.

INFLAMMATION AND ENLARGEMENT OF THE HAW.

The haw, or membrana nictitans, is subject to inflammation and swelling from the extension of conjunctivitis, or direct injury by foreign substances. It presents a red, swollen appearance, accompanied with considerable pain and a profuse flow of tears. A slight scarification with a sharp knife and the application of a cooling lotion, such as is recommended for conjunctivitis, will soon reduce the swelling and restore it to its normal function.

There is, however, a tendency for an inflammation of this membrane to take on a chronic character, which may eventually result in a permanent enlargement, resembling a tumor. When it attains sufficient size to protrude itself permanently over the eye, or project between the lids so as to obstruct the sight, its removal may become necessary. A threaded needle is passed through the body of the enlarged mass, by which the membrane is drawn out as far as possible, then with a blunt pair of scissors it may be dissected away from its attachments. The eye is afterwards treated with simple cooling lotions.

DISEASES OF THE EAR.

By M. R. TRUMBOWER, D. V. S.

Diseases of the ears of cattle are not very common, for the reasons probably that they are not subjected to the brutality of drivers so much as horses and that the horns to a great extent protect them against external violence.

OTITIS (INFLAMMATION OF THE INTERNAL EAR).

Inflammation of the deep part of the ear is often difficult to recognize in cattle. It may be caused by disease of bone in that region, from blows inflicted by drivers, or from injury by other cattle. Occasionally the ear becomes involved in actinomycosis (lumpy jaw), or the inflammation may be the result of a tuberculous affection.

Symptoms.--The animal will hold its head to one side, or shake it, while the ear itself is held immovable. The movement of the jaws in eating usually gives rise to a manifestation of pain; the base of the ear may be feverish and swollen, and very sensitive to the touch. If the inflammation has advanced to a suppurative stage, offensive matter will flow from the ear.

Treatment.--At first, hot fomentations to reduce pain and fever, followed by a sharp blister below the ear. Laudanum, 1 part to 10 of sweet oil, may be injected into the ear to relieve pain and to soften the secretions. If there is a discharge from the ear, it should be thoroughly washed out by injecting warm soapsuds until all the matter has been washed away; then inject the following mixture twice a day: Sulphate of morphia, 20 grains; water, 1 pint; glycerin, 4 ounces.

ABSCESS.