Part 46 (1/2)

_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 kerat.i.tis, ulcers of the cornea, or staphyloma supervene. The attack is marked from the onset by fever, partial loss of appet.i.te, 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 kerat.i.tis, 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.

KERAt.i.tIS (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 const.i.tutes the most prominent portion of the eyeball, hence it is subject to a variety of injuries--scratches, p.r.i.c.ks, 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 kerat.i.tis 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 const.i.tutional causes recurrence is frequent, leaving the corneal membrane more cloudy after each attack, until the sight is permanently lost.

Suppurative kerat.i.tis may be a sequel of diffuse kerat.i.tis; more commonly, however, it abruptly becomes manifest by a raised swelling on or near the center of the cornea that very soon a.s.sumes a yellow, turbid color, while the periphery of the swelling fades into an opaque ring. Suppurative kerat.i.tis is seldom noticed for the first day or two--not until distinct pus formation has occurred. When it is the result of diffuse kerat.i.tis, 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 pota.s.sium, 15 grains; tincture sanguinaria, 20 drops; distilled water, 2 ounces; mix.

Sometimes kerat.i.tis 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 kerat.i.tis, 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 sc.r.a.ped to a point; the animal's head should be firmly secured; an a.s.sistant 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 a.s.sumes 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 several times a day with sulphate of zinc, 30 grains to half a pint of soft water, and protected against exposure to cold air and sunlight. Excessive ulceration sometimes a.s.sumes the form of fungous excrescence upon the cornea, appearing to derive its nourishment from loops of blood vessels of the conjunctiva. Under these circ.u.mstances the fungoid ma.s.s must be cut away and the wound cauterized with the nitrate of silver, or else the eye will soon be destroyed. When ulcers of the cornea appear indolent, with a tendency to slough, in addition to the treatment already prescribed, tonic powders of copperas, gentian, and ginger, equal parts by weight, should be given twice a day, mixed with the feed; dose, one tablespoonful.

STAPHYLOMA.

This is a disease of the eyeball, in which the cornea loses its transparency, rises above the level of the eye, and even projects beyond the eyelids in the form of an elongated, whitish, or pearl-colored tumor, which is sometimes smooth, at other times uneven.

_Causes._--Inflammation is the only known cause, although it may not occur immediately; it frequently follows catarrhal conjunctivitis and kerat.i.tis as a sequela.

_Treatment._--In a few cases restoration of sight may be effected by puncturing the projecting tumor and treating it afterwards with nitrate of silver in the same manner as prescribed for ulceration of the cornea. In some cases spontaneous rupture has occurred, and healing without any treatment at all.

CATARACT.

In cataract the crystalline lens becomes opaque and loses its transparency, the power of refraction is lost--the animal can not see.