EXOPHTHALMOS.

This consists in an increase of the media of the eye so as to cause an

excessive increase in size, and an unsightly bulging outward from the

orbit and between the lids. It may be said to be a more exaggerated

enlargement of the eye ball, than has been already noticed under

glaucoma.

It has been seen in nearly all classes of domestic animals. Everhardt

and Möller reports it in horses, Hausmann, Pradal, etc., in cattle,

LaNotte, in lambs, Cöster, Trasbot, etc., in dogs, and Trasbot, in birds

(chickens and parrots). It has been found congenitally in lambs and at a

few days old in foals, especially when weak and puny; in older animals

it appears to be most frequent in the anæmic or starved animal, in the

lymphatic, or, as in man, in the goitrous.

The manifest projection outward of the eye may occur as a nervous

phenomenon, without intraocular pressure, and without abscess, neoplasm,

or inflammation in the depth of the orbit. In a case of tuberculosis in

a three year old cow, I have found this condition, with normal tension

of the eyeball, but with acute tubercular meningitis of the pia,

surrounding the pons and crura cerebri, a grayish exudate with lighter

miliary centres, and a considerable clot of extravasated blood.

_Symptoms._ Mostly without any febrile reaction, there is a manifest

enlargement and bulging of the globe of the eye, so that it stands out

between the lids which can no longer cover it. The cornea, aqueous,

lens, and vitreous are not usually opaque, but show only a pale, blue,

opalescent tint. The pupil is often widely dilated so as to show clearly

the interior of the eye. Vertiginous symptoms have been observed in the

cow (Pradal), the supposed result of intraocular pressure.

_Treatment_ has had little effect when it stops short of puncture of the

cornea or iridectomy.

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