GENERAL DISCUSSION.—The eye is situated in the orbital cavity, to which it is attached by muscles that rotate it in different directions. The orbit is lined by fibro-fatty tissues that form a cushion for the eye. Anteriorly it is protected by the eyelids, and in birds by a third eyelid that corresponds to the membrana nictitans of quadrupeds. The lachrymal gland which secretes the tears keeps the above parts moist. The eye is the essential organ of vision. It is formed by a spherical shell which encloses fluid or semisolid parts. The shell is anteriorly made up of a transparent convex membrane, the cornea, while the remainder of its wall is formed by three opaque layers or tunics. The external tunic is the sclerotic. It is a white, solid membrane, forming about four-fifths of the external shell. Its external face is related to the muscles and fatty cushion. It receives posteriorly, a little lower than its middle portion, the insertion of the optic nerve, which passes through the shell and spreads out to form a very thin membrane, the retina or internal coat. The retina lines about two-thirds of the posterior portion of the shell of the eye. It is made up of seven layers. The essential layer is named from its appearance, rods and cones. The middle coat is the choroid. This is a dark, pigmented, vascular and muscular membrane. The posterior portion is in contact with the retina. Anteriorly it forms the ciliary processes and the iris. The media of the eye are the crystalline lens, vitreous and aqueous humors. The crystalline lens is a transparent, biconvex body sustained by the ciliary processes. The vitreous humor is a transparent jelly-like substance that fills all the cavity of the eye posterior to the lens. The aqueous humor is a liquid, contained in the anterior and posterior chambers of the eye in front of the lens. This fluid separates the iris from the front of the lens. EXAMINATION OF THE EYE.—In examining and treating the eye we should avoid rough and hasty manipulation. The animal should be approached slowly. It is best for the attendant who is familiar with the animal to hold it for the examiner. It is advisable on approaching the animal to stroke its face, and in the horse to brush its foretop away. The hand should be carried slowly to the front of the eye, and the lids separated with the fingers and thumb if we wish to obtain a better view of the cornea. In cattle the best view of these parts can be obtained by taking hold of the nose and lifting the head. It is impossible to make a satisfactory examination of the eye outside of the stable where the light is coming from all directions. The most satisfactory conditions under which a general examination can be made is to stand the animal facing a transom, window or open door. We may then look directly into the eye and note the condition of the different refracting media. The lens should appear transparent and free from scars. The aqueous humor free from any cloudiness or precipitate. Both pupillary openings should be the same size, and not too small or too large in the bright light. As we look through the pupillary openings, both the lens and the vitreous humor should refract the light properly and not appear white or greenish-white in color. The color of the iris should be noted. If it lacks lustre or appears dull, this may indicate an inflammation. In periodic ophthalmia in horses the iris loses its lustre and becomes a rusty-brown color. It is very important to note this change in the appearance of the iris. We should note, in addition, the expression of the animal's face, the position of the ears and eyelids and manner of the walk. Horses that have defective sight may show a deep wrinkle in the upper eyelid when startled or looking directly at an object. Animals that are blind hold the ears in a characteristic position, and may stumble and walk over, or run into objects unless stopped. The ophthalmoscope is a very useful instrument for determining the condition of the different structures of the eyes, when in the hands of persons who are trained in its use. CONJUNCTIVITIS.—This is an inflammation of the mucous membrane lining the eyelids and covering the eyeball. The two forms of conjunctivitis common in domestic animals are the catarrhal and purulent. The symptoms differ in the two forms of conjunctivitis. They may be distinguished from each other by the difference in the character of the inflammatory discharge. In the catarrhal form, there is a discharge of tears and the lids are held more or less closed. The mucous membrane is usually brick red in color and swollen. A little later the discharge becomes heavier and adheres more to the margins of the lids. The lids continue tender and the inflammation painful. The surface of the cornea may appear white and the blood-vessels prominent, but it is only in the severe cases that inflammation of this portion of the eye occurs. In such cases an elevation in body temperature may occur. This is especially true of purulent conjunctivitis when primarily caused by an infectious agent. In the purulent form the discharge is heavy and pus-like. The treatment is both preventive and curative. The first object must be to remove the cause. Irritating gases resulting from stable filth should be remedied by correcting the unsanitary conditions in the stable. Conditions favoring injury to the eye from foreign bodies, such as chaff and a careless attendant, should be corrected. Animals suffering from the infectious or purulent form of inflammation should be separated from the other animals. Foreign bodies should be removed promptly before they have had an opportunity to set up a serious inflammation. It is necessary to confine the animal in some way before attempting to do this. Horses should be twitched, cattle held by the nose, and the head of a small animal held firmly with the hands. It may be necessary to cocainize the eye before the operator can remove the foreign object with absorbent cotton or with forceps. In case of injuries and irritation to the lids by foreign bodies, the eye may be flooded with a three per cent water solution of boric acid twice daily, or as often as necessary. Such washes or lotions may be applied with a small piece of absorbent cotton, using a fresh piece each time the eye is dressed. A medicine dropper may also be used. A lotion containing silver nitrate two to four grains and distilled water one ounce, is useful in combating the inflammation. This may be applied twice daily. Irritating lotions should be avoided, if possible, in the treatment of eye diseases of horses, because of the danger of making the animal disagreeable to handle. Boric acid may be dusted over the ball of the eye of cattle with a powder blower. PERIODIC OPHTHALMIA, "MOONBLINDNESS."—This is a periodic inflammation of one or both eyes of the horse. The internal structures of the eye are involved by the inflammation, but it may appear as a conjunctivitis. The cause of this disease is not well understood. Certain local conditions seem to favor its development. Undrained land, a humid climate, the feeding of a one-sided ration or one that does not maintain the vitality of the animal, and severe work seem to produce it. Heredity must be accepted as a prominent accessory cause. A number of different bacteria have been mentioned as causative factors for this disease. The symptoms at the very beginning indicate a general inflammation of the eye. The eyelids are swollen, there is an abundant secretion of tears, the eyeball is retracted and the lids are held more or less closed. As the inflammation progresses, the cornea becomes milky in appearance and the aqueous humor may show a precipitate toward the bottom of the anterior chamber. The pupil is usually contracted and dilates slowly when the animal is moved into the light. The acute inflammation gradually subsides, and about the tenth to the fourteenth day the lids and cornea may appear normal. The periods between these acute attacks of ophthalmia may vary from a few weeks to several months. Severe work, debility and the character of the ration influence their frequency. It is not uncommon for animals that have been given a rest to suffer from a second attack on being put to work. The attendant may observe a hazy or whitish condition of the margin of the cornea. The upper lid may show an abrupt bend of its margin and a deep wrinkle. The color of the iris appears to have lost its lustre, and the aqueous humor and lens may be cloudy. After a variable number of attacks glaucoma or cataract develops. The history of the case will enable the attendant to recognize this form of ophthalmia. Treatment is unsatisfactory. Preventive measures consist in avoiding conditions favorable to the production of the disease. This should be practised so far as possible. At the time the attack occurs, the animal should be given a cathartic. One pound of Glauber's salts in a drench is to be preferred. Rest in a darkened stall is indicated. An eye lotion containing three grains of silver nitrate in one ounce of distilled water should be applied to the eye three times daily. A water solution of atropine or eserine should be used for the purpose of relieving the symptoms of iritis or glaucoma. A very light diet should be fed. INFECTIOUS OPHTHALMIA OF RUMINANTS.—This occurs as an acute inflammation of the eyelids and cornea. The disease is highly infectious, affecting all of the susceptible animals in the herd. It commonly occurs during the late summer and fall. The symptoms appear suddenly. The animal is feverish, the eyes closed and the cheeks are wet with tears. The cornea becomes clouded, white and opaque. In severe cases, the blood-vessels around the margin of the cornea become prominent, and ulcers form on its surface. The animal's appetite is impaired or lost. There is loss of flesh and temporary blindness. The blindness in one or both eyes may persist for a period of from two weeks to several months. Permanent blindness is comparatively rare. The preventive treatment consists in practising the necessary precautions against the introduction of the disease into the herd, and in carefully quarantining the first cases of the disease that appear. The affected animal should be given a darkened stall, and fed a very light ration until the acute inflammation has subsided. From one to one and one-half pounds of Glauber's salts should be given. The local treatment consists in the application of antiseptic lotions or powders to the eye. Equal parts of boric acid and calomel, dusted into the eye twice daily with a powder blower, is a very effective treatment. QUESTIONS1. Name the different structures that form the shell of the eye; name and describe the different media of the eye. 2. Give the general method of examining the eyes of horses. 3. What is conjunctivitis? Give causes and treatment. 4. What is "moonblindness"? Give the symptoms. 5. Describe the symptoms of infectious ophthalmia of ruminants and the treatment. |