The commoner diseases of the eye : how to detect and how to treat them . Everting the Upper Lid—First Act. the same time the lid is quickly turned over theleft forefinger nail. The action of the levator palpebrae and or- 38 COMMONER DISEASES OF THE EYE bieularis muscles in opening and closing the lidsshould also be noted, at the same time observ-ing whether the size of the interpalpebral open-. Everting the Upper Lid—Second Act ing is normal or not. The eyeball should nextbe inspected for the purpose of determining thepresence of hyperemia or inflammation. If the METHODICAL EXAMINATION OF THE
The commoner diseases of the eye : how to detect and how to treat them . Everting the Upper Lid—First Act. the same time the lid is quickly turned over theleft forefinger nail. The action of the levator palpebrae and or- 38 COMMONER DISEASES OF THE EYE bieularis muscles in opening and closing the lidsshould also be noted, at the same time observ-ing whether the size of the interpalpebral open-. Everting the Upper Lid—Second Act ing is normal or not. The eyeball should nextbe inspected for the purpose of determining thepresence of hyperemia or inflammation. If the METHODICAL EXAMINATION OF THE EYE 29 congestion be superficial the conjunctival ves-sels alone are increased in number and size andthe redness is most apparent in the retro-tarsalfolds and gradually fades out as the cornea andthe margins of the lids are approached. If itbe deep seated the deep vessels in the sclerasurrounding the cornea are enlarged, giving apink or rosy hue to the area immediately en-circling the cornea (pericorneal injection), in-dicating an inflammation of the cornea, iris orciliary body. Any edema of the conjunctiva (chemosis)should be noted. This does not, except in severecases, reach the corneal margin, although itsometimes affects the whole of the ocular con-junctiva. The position of the eyeballs in theorbit should be observed, whether they are tooprominent (exophthalmus) or sink into the o
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