File:Care and feeding of infants and children; a text-book for trained nurses (1920) (14595060267).jpg

Identifier: carefeedingofinf00rams (find matches)
Title: Care and feeding of infants and children; a text-book for trained nurses
Year: 1920 (1920s)
Authors: Ramsey, Walter Reeve, 1872- Lettice, Margaret B
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Publisher: Philadelphia and London, J. B. Lippincott company

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Fig. 81.—Method of separating the eyelids. (Wicks Disease of the Eye,Lea&Febiger.) In order to do this a small piece of sterile gauze must be usedunder the fingers in order to make traction and an assistantwill usually be necessary, if effective work is to be done. Com-presses wrung out of iced water should be laid upon the eyesand changed every few minutes if the discharge is profuse(Fig. 82). Once or twice daily the conjunctiva should be painted overby the physician with a 2 per cent, solution of silver nitrate. (68 CARE OF INFANTS AND CHILDREN
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OPHTHALMIA NEONATORUM 169 The great danger in these cases is from ulcer of the cornea,which frequently perforates, destroying the eye, or from theformation of opacities from the scar, which result in blindness. Microscopic Examination of the Discharge.—In everycase when there is any discharge from the eyes a smear shouldbe taken and a microscopic examination made to determine itsexact character, as any discharge from a babys eye should beregarded as gonorrhoeal until proved not to be. In no caseshould the social standing of the family preclude this precautionbeing taken, when a discharge appears in the eyes of the new-born infant. CHAPTER XIX DEFECTIVE VISION, ITS CAUSES ANDSIGNIFICANCE Defects of vision are common In children of all ages. These defects may be congenital or acquired. Congenitaldefects may be due to degenerative changes in the structure ofthe eye, cornea, lens, retina, or optic nerve, or to simple mal-formations in the shape of the eye, by which the light is notprope

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