Study of the extensive literature upon the subject of granular conjunctivitis shows that the vane of fashion in its treatment has veered somewhat from the radical surgery in vogue several years ago to which it had pointed after years of silver and blue-stone cauterizations. Appropriate general treatment and regimen together with local medicinal applications in connection with surgical procedures are again in favor.
To scientifically discuss the value of local medicinal measures it is first necessary to consider the nature of the diseased process. Examination of the vast mass of literature upon the treatment of granular and trachomatous disease shows that the authors' main ideas are to empirically cut, squeeze, burn and cauterize away the follicles and trachoma bodies in order to remove the supposed mechanical effect caused by their presence. I will attempt to properly expose the principles of scientific local medicinal treatment as well as to show the
WÜRDEMANN HV. A COMPARISON OF THE VALUE OF LOCAL MEDICINAL MEASURES IN THE TREATMENT OF GRANULAR CONJUNCTIVITIS (TRACHOMA). BEING A PORTION OF THE REPORT OF THE SPECIAL COMMITTEE APPOINTED TO DISCUSS THE SUBJECT OF GRANULAR CONJUNCTIVITIS (TRACHOMA) FOR THE SECTION ON OPHTHALMOLOGY OF THE AMERICAN MEDICAL ASSOCIATION. JAMA. 1898;XXX(3):122–125. doi:10.1001/jama.1898.72440550010001d
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