All who have had experience in treating gonorrheal ophthalmia of one side realize the imperative necessity of isolating the noninfected eye. Of course, this can be done with an opaque shield but this prevents the use of the eye and must be removed at frequent intervals to permit inspection for evidence of beginning infection.
Buller recognized this when he devised the "Buller shield," which consisted of a watch glass fastened before the healthy eye with collodion and cotton or adhesive tape. This procedure has saved innumerable eyes and is of the utmost value; but sufficiently large watch crystals are sometimes hard to get, do not fit the area to be covered, are not easy to fasten tightly to the nose, cheek and brow, and are often uncomfortable to wear.
A few years ago I1 reported the use of a shield which met these objections in that it fitted the
Patton JM. A TRANSPARENT SHIELD FOR MONOCULAR ISOLATION IN GONORRHEAL OPHTHALMIA. JAMA. 1927;89(13):1058. doi:10.1001/jama.1927.92690130004016b
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: