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Related post: tion and checks the secretion by constricting the capil-
laries, while heat aids in the healthful repair of tissues
by promoting absorption of the exudation and by carry-
ing the proper nourishment to the part.
Again, in the early stages of inflammation, cold
relieves pain both by preventing the flow of blood to
the part by its contracting the blood-vessels and by its
limiting the amount of exudation. In the latter stages
heat relieves pain by causing absorption of the exudation
and lessening the tension of the inflamed area. More-
over, heat greatly augments the diffusibility of liquids
into the eye, for Bellarminoff and Dolganoff have shown
that the rapidity and the amount in which drugs are
absorbed after the application of the hot compress are
due to a change which is wrought in the corneal epi- Order Lipothin
thelium.
Finally, both agents have a germicidal action. It
has been found that a l-to-10,000 hot solution of bi-
chloride of mercury is more efficacious in preventing
pus-formation than a cold one of 1 to 2,000. Water
itself at a temperature of from 230° to 281° F. kills
many bacteria, while cold, even of the degree at which it
may be applied to the eye, will hinder the development
of germs and prevent their growth.
Heat and cold may be applied in either a moist or a
dry form. A-greater action is usually derived from the-
moist compress, whether it is hot or cold, for Jaennec,
-ays the author, has proved that therapeutically moist
heat is not Purchase Lipothin only more penetrating than dry heat, Order Lipothin Online but
gives a greater variation in the degree of heat. Giesse
has also shown that the cold compress will lower the
temperature much more rapidly than bladders filled with
ice; moist applications also possess the greater advan-
tage of washing away all secretions from the conjuncti-
\ al sae.
In regard to the toilet of the eye, lukewarm applica-
nt!- will be found to give the greatest comfort to the
greatest number. A little boric acid or sodium chloride
may be added to the water and make the application
even more grateful. In regard to the practice of open-
ing the eyes in a basin of water after the head has been
LMS
' /././.. I. V).
|.V. Y. Mm. Joi b.
immersed in it, says Dr. Posey, we are not fishes; our
eyes are noi Purchase Lipothin Online adapted for such a procedure, and we should
rest satisfied with the glass dropper or the eye cup.
In hyperemia of the conjunctiva, induced by ame-
tropia or by the presence of a foreign body, cold is a
simple I'n l effect tve means of restoring the memh
its healthy condition. In these cases, the douche or the
compress may I"' applied over the closed lids with the
greatesl advantage for fifteen minutes at a time. The
water employed should not be loo cold, or excessive reac-
i h>ii may follow its use.
in the severer forms of conjunctivitis, when there is
a purulent, inflammation or an exudate, ice is the sov-
ereign remedy, and there is but one way to apply it,
by the continued use of the ice compress. Disasi i
suits need not be feared, says Dr. Posey, from its pro-
longed application, for of all the remedies used to combat
this type of disease in the early stages, this is undoubt-
edly the best. At the outset Buy Lipothin Online of the disease the board-
like swelling of the lids is doubtless one of the chief
causes in elevating the temperature, and, as the swell-
ing and induration prevent the cold from gaining access
to the Buy Cheap Lipothin eye, it is necessary that the treatment should
be energetic and prolonged. The application of com-
presses, therefore, should be maintained night and day
in such cases, and should only be desisted from when
a corneal ulcer threatens or the secretion becomes ex-
cessive. If either of these two contingencies should
arise, the ice compress should be replaced at once by
the hot application, and this should be persisted in for
fifteen minutes Buy Lipothin every two or three hours. The hot water
will relieve the stagnant condition of the corneal circula-
tion that has been induced by the intense chemosis of the
bulbar conjunctiva, and thus favor the repair of the
cornea.
In treating disease of the cornea hot compresses are
always indicated, never cold. The cornea is normally a
non-vascular structure, and is dependent for its nour-
ishment upon the tissues surrounding it, and if these
are diseased, a stasis in the nutritive supply of the mem-
brane occurs, and ulceration ensues. The chief indica-
tion, therefore, in treating diseases of the cornea is to
prevent this stasis. This, he says, is admirably accom-
plished by means of moist heat, provided it is properly
applied. One of the most frequent forms of corneal
ulceration is phlyctenular keratitis. This disease occurs
usually in children of a scrofulous diathesis, and there

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