The dermatologic clinic at Wills Eye Hospital affords opportunity of observing cutaneous diseases confined to the lids or conjunctiva, or with concomitant ocular manifestation.
Ocular examination may be of diagnostic aid to the dermatologist. A notable example is leprosy, a disease that has according to deBarros1 a higher percentage of ocular involvement than any other systemic disease. Of its diverse ocular lesions, one constitutes one of the earliest signs of leprosy. Reference is made to beaded corneal nerve as seen by slit-lamp, microscopy.2 Second in diagnostic importance are distinctive capillary changes seen in the capillary bed at the limbus. Elliot2 compared these changes to that of a glomerulus or capillary tufts.*
Of considerable aid in diagnosis of congenital syphilis in later years is the demonstration of old blood vessels of interstitial keratitis by corneal examination and slitlamp microscopy. Such
KLAUDER JV. The Interrelation of Some Cutaneous and Ocular Diseases: Particular Discussion of Blepharochalasis, Sarcoid, Erythema Multiforme, Ocular Pemphigus, Lupus Erythematosus, Melanosis of Conjunctiva, Length of Cilia. AMA Arch Derm. 1959;80(5):515–528. doi:10.1001/archderm.1959.01560230001001
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