Diseases of the Eye and Lids.
Inflammation of the Eyelids. Blepharitis.
THIS common affection commences as a simple congestion of the lid border, making the lids look red and swollen. There is slight burning and smarting, worse from cold winds, smoke, dust and a bright light. The lids adhere in the morning, and a sticky secretion forms dry scales or scabs, beneath which in pronounced cases will be found a raw or ulcerated surface. Pus may form, the eyelids become thickened and the eyelashes fall out. Lack of cleanliness; poor hygienic surroundings; eruptive diseases; the irritation of smoke, wind and dust, and late hours are the usual causes, and especially in young and scrofulous persons, who may or may not have imperfect vision.
Aconite. Acute inflammation from cold winds or dust, lids red and swollen; great heat, dryness, burning and sensitive to the air. A dose every two hours.
Pulsatilla. Inflammation of the lids resulting from high living or fat food, and when accompanied by acne of the face; profuse, bland discharges. Give as above.
Hepar Sulph. Acute inflammation, especially when suppuration seems imminent or has taken place; the lids throb and are sensitive to touch; feel better from warm applications. Give as above.
Calcarea Carb. Scrofulous, " potbellied " children who sweat much about the head; eyelids red, swollen and hard. A dose three times a day.
Mercurius Sol. Thick, red, swollen, ulcerated lids, sensitive to heat or cold and to touch; profuse acrid watering of the eyes; cutting pains, worse at night; syphilitic persons especially. Give as above.
Antimonium Crud. Lids adhere on waking in the morning, burn on being opened; eyes dread the light; eyelids itch and burn, and are thickened. Give as above.
Also Argentum nit. Inflammation of the lids involving the eyelashes, better from cold air and cold applications. Apis. Eyelids much swollen, red, puffy; itching of eyes and lids. Graphites. Chronic cases in scrofulous persons subject to eczema, chiefly on the head and behind the ears; edges of eyelids slightly swollen, and covered with dry scales or scarfs; the outer corners of the eyes may crack and bleed on opening the lids.
Simple cosmoline or vaseline may be applied to the margins of the lids to prevent adhesion, but two grains of the yellow oxide of mercury to two drachms of vaseline, well mixed, is even better. In chronic cases where graphites is indicated internally, two grains of the crude drug may be added to the vaseline in place of the mercury, f or external application. Improve the general health, and have any error of refraction corrected. Men pus forms on the lids, they may be cleansed with peroxide, of hydrogen.
Twitching of the Eyelids. Blepharospasm.
CHILDREN are often affected, especially during their early school years, with undue winking of the eyelids, associated, at times, with jerky movements of the muscles of the face. This is sometimes of merely nervous origin and occurs also in nervous, delicate adults. When from a foreign body, decayed teeth, inflammation of the eye, ulcer of the cornea, or errors of refraction, remove the cause, and institute proper treatment. Men of nervous origin, resort to electricity may be necessary, but most cases can be cured by one of the following remedies:
Agaricus. Twitching of the lids, with a feeling of heaviness in them, relieved during sleep, and sometimes temporarily by washing in cold water; spasms of the lids. The principal remedy, two drop doses of the tincture, twice a day.
Ignatia. Constant winking of the eyelids, with spasmodic action of the muscles of the face In sensitive children or adults, who weep or are frightened easily, and are subject to headache and neuralgia. A dose twice a day.
Cicuta. Twitching or spasms of the eyelids, with tendency to squint. Give as above.
A STYE, is a Small, painful boil on the eyelids attended by heat, redness, swelling and rapid suppuration. A debilitated condition favors the formation of styes, especially in a scrofulous person; also, exposure to winds, eyestrain, chronic inflammation of the lids or of the covering membrane of the eyeball. In the beginning there is a circumscribed redness and swelling on the edge of the lid, with throbbing pain.
After exposure to cold winds or straining the eyes, threatened stye, or with general inflammation take Aconite. Pulsatilla will often prevent the formation of pus if given when the first signs of swelling and inflammation appear; especially serviceable for those of a scrofulous constitution. Hepar sulph. When pus forms, and Sulphur after the stye has healed to prevent recurrence, a dose of the latter remedy night and morning for a week or two. The other remedies may be taken a dose every three hours.
Rest the eyes, avoid a strong light; if there is much inflammation the eyes may be bandaged. Hot bread and water poultices will relieve pain and tension, and bring the stye to a head when its con tents can be evacuated. Hot fomentations, constantly renewed, also give much comfort. Build up the system by nourishing, simple food, malt and cod liver oil, and observe all hygienic rules.
Inflammation of the Iris. Iritis.
The iris is the beautiful, colored, contractile membrane which is seen through the cornea or transparent portion of the external coat of the eyeball, in the front of the eye. In the center of this is a round opening, the pupil. The iris serves as a curtain to regulate the amount of light entering the eye, and aids the latter in accommodating itself to degrees of light by contracting and dilating the pupil.
Inflammation of the iris may be due to catching cold, to overuse of the eyes, injuries, foreign bodies, scrofula, rheumatism, gout, diabetes or other constitutional diseases. From 60 to 75 per cent. of all cases are said to be due to syphilis. Acute iritis lasts from two to six weeks; it may become chronic. There is marked redness, watering of the eyes, sensitiveness to light; some pain, which increases and becomes very severe, and of a neuralgic character, extending many times to the forehead and temples or even the whole head. In chronic cases there is little pain; the iris is discolored.
Aconite. In the first stage, or, in a sudden reappearance, especially when due to a cold draught of air; great heat, burning, and dryness of the eyes; iritis from injuries.
Belladonna. Early stages of iritis from a cold, or chronic inflammation following cataract extraction; much redness, and severe throbbing pain in the eye and head.
Mercurius Viv. Especially in syphilitic cases; pains usually severe in the eyes, forehead and temples, worse at night and in damp weather; great sensitiveness to light; iris discolored; pupil contracted.
Rhus Tox. Rheumatic iritis, especially if caused by exposure to wet; suppurative inflammation after an operation, with puff y swelling and spasmodic closure of the lids; on opening them tears gush out; pains worse at night.
Also Arnica in iritis from wounds. Bryonia. Inflammation, and watery discharge after exposure to cold in those subject to rheumatism; sharp, shooting pains in the eyes, through head or down into the face * ; may be soreness and aching of eyeballs, the eye sore to the touch. A dose of the indicated remedy every two hours in acute cases; three times a day, in chronic cases.
The patient should stay in a darkened room, and preferably in bed to secure rest from movement of the eye muscles, as well as freedom from irritation by light. Avoid the use of alcohol or stimulating foods. A tablespoonful of hamamelis to half a cupful of water, applied on cloths frequently renewed and as hot as can be borne will often greatly relieve pain and congestion. The eye may be washed out twice a day with warm boracic acid solution. The instillation of a one per cent. solution of atropine is very desirable, but should be done under a physician's direction as atropine is a poison. A few drops are dropped into the eye every two or three hours to twice or three times a day dryness of the throat or flushing of the face axe the first signs calling for its discontinuance. Small linen bag three inches square filled with fine table salt, and heated in an oven, make grateful applications; if cold is preferred, use cloths wrung out in ice water, but do not let them get warm. Do not use ice bags. Cold applications are indicated immediately after wounds to the eye.
THE crystalline lens back of the iris, which focuses the rays of light on the retina, is covered by a highly elastic membrane called its capsule. Amy opacity of the lens or its capsule, or both constitutes cataract. This lessening of the transparency of the lens may be due to old age, other diseases of the eye, injuries, excessive heat and light, gout, diabetes, etc., defects of the eye at birth, and other causes. When the fibers that make up the lens have degenerated, no internal remedy will restore transparency, and operative measures offer the only relief, but in the very beginning the remedy indicated in the individual case should certainly be given, and its use persisted in.
Causticum. Feeling of sand in the eyes, and pressure, heaviness of the lids; burning and itching of the eyes, with desire to keep them closed; aversion to light; winking and twitching of the lids; flickering or sparks before the eyes, and light obscured as from a thick fog or cloud.
Sepia. Especially in threatened cataract in women, eyes feel weak, worse toward evening, and better in the middle of the day; blurring of light or sudden vanishing of sight; some sharp pains in the eyes, with heaviness and twitching of the lids; headaches which are worse morning and night.
Phosphorus. Black, floating points before the eyes; distant objects seem to be covered by a smoke or mist; can see better in the half light or by shading the eyes with the hand; eyes give out while reading.
Iodoform. Recommended by Dr. Norton, specialist in diseases of the eye at the New York Homeopathic College and Hospital, in cases where there are broad lines or patches of flaky substances in the eye, showing a rapidly progressing cataract.
Also Conium in cataract due to injury of the eye, and Calcar phos. in cataract in scrofulous and much debilitated persons, with much pain in the right eye and side of head. A dose of the indicated remedy two or three times a day.
CROSS EYED is a common term for this affection. Sometimes both eyes are affected, but usually only one; the strabismus may be intermittent or constant. It usually exists in connection with far sightedness, other predisposing causes are working in a poor light, excessive use of the eyes for near work, weakened eye muscles, dis. orders of the brain. Squinting is most frequent in children, and may sometimes be corrected by glasses, without resorting to operative interference. Remedies are of use in squinting due to disturbances of the nervous system.
Cicuta. Spasmodic squinting in children, or squinting in children subject to convulsions. Hyoscyamus or Belladonna in squinting in sensitive, nervous children or those suffering from epilepsy. A dose twice a day.
Whatever refractive error of the eyes there may be should be corrected by glasses prescribed by a good oculist. As recovery may take place, with proper care of a child's eyes, it is better not to have an operation performed in very young children, and wait until the age of ten years or even later. Never let a child use the eyes in a poor light, or facing a strong light. When there is squinting, all near work should be avoided as much as possible,
Conjunctivitis. Inflammation of the Lining
Membrane of the Eyelids.
A LIST of remedies indicated in this disease, and an outline of the general treatment is appended to the brief descriptions of its different forms.
THE mucous membrane lining the eyelids, and which is reflected over the ball of the eye, is called the conjunctiva. It may become acutely inflamed from exposure to cold, wind, dust, or the disease may be due to an epidemic or to infection through a towel, handkerchief or even the fingers of a person already affected, for the discharge from the eyes is contagious. Catarrhal conjunctivitis may accompany other diseases. It is most common in the spring and fall, but may occur at all times of the year, and at all ages. Sometimes, but not always, there is inflammation of the lids, blepharitis, which has been already described. The white of the eye is highly inflamed, the lids itch and smart, eyes feel hot and heavy and as if sand was in them; and there is more or less bland, or partly mucous pus like discharge. Acute attacks last from two to three weeks, but become chronic if neglected.
There is a form of acute catarrhal conjunctivitis known as Epidemic Conjunctivitis or Pink Eye. This is due to a small bacillus, and is generally communicated through the secretion from some affected eye.
Purulent Conjunctivitis. Gonorrheal Conjunctivitis.
IN infants this form is called Ophthalmia Neonatorum. The cause, whether in infants or adults, is the contagion present in gonorrheal or syphilitic discharges. AU the symptoms present in the ordinary catarrhal form are seen in this, only more prominent. Special symptoms are the elevation of the conjunctiva in a ridge surrounding the eyeball, little points above the surface of the conjunctiva which bleed, and a thin, semi purulent discharge, becoming pus like, thick and yellow heat and burning of the eyes, puffiness of the lids.
Granular Conjunctivitis. Trachoma.
ALMOST everyone has heard of trachoma since so many immigrants reaching these shores have been sent back by the medical inspectors because they had this disease. It is an infectious inflammation and thickening of the conjunctiva with formation of granulations on the inside of the eyelids, and finally a pus like discharge highly contagious. When the disease is abating, narrow, white, linear scars form; but this affection is very obstinate, lasts months and even years, and relapses often occur.
Diphtheritic Conjunctivitis. Croupous Conjunctivitis.
THESE are two more forms of the same disease, the former always due to infection by the specific germ of diphtheria, but this bacillus is also found in the croupous variety. In diphtheritic conjunctivitis the tissues are infiltrated, and may die; there is a purulent discharge, much prostration of the whole system as in diphtheria. It occurs in children, but is rather rare.
The croupous form differs in that the exudation is on the surface of the conjunctiva, and does not extend into the tissues beneath. It forms a fibrous membrane which may be removed, leaving a bleeding surface. chemical or mechanical irritants and excessive heat as well as germs, may cause this variety.
Scrofulous Conjunctivitis or Ophthalmia.
THIS form has several other names, of less importance than the causes and symptoms, for it is a common disease in scrofulous or consumptive children, especially under bad hygienic conditions ' lack of cleanliness and proper food. These children often have eczema, enlarged glands, discharge from the ears, chronic nasal catarrh, etc.
On the conjunctiva will be noticed small, reddish elevations, surrounded by an area of redness; there is pain, watering of the eyes and aversion to light; matter forms and sometimes the elevations ulcerate; often the lids tend to stick together; relapses are common.
Aconite. In the first stage of any inflammation of the conjunctiva when the eyes are red, burning and very painful, with great dryness or there may be some watering of the eyes; especially useful in inflammation from a foreign body, in acute catarrhal conjunctivitis or acute aggravation of the granular form. Cold local applications supplement this remedy well.
Arsenicum Acute catarrhal conjunctivitis, with ridge like swelling; hot, scalding tears, burning pains worse at night; also in chronic cases when the discharges are thin and acrid, excoriating the eyelids and cheek
Argentum Nit. Any form of purulent inflammation of the conjunctiva with very marked ridge like swelling, profuse discharge of matter, and commencing haziness of the cornea, with tendency of the tissues to slough.
Aurum Met. Scrofulous ophthalmia; the white of the eye bloodshot and ulcerated; much aversion to light; profuse, scalding tears, eyes sensitive to touch; a valuable remedy in trachoma.
Mercurius Sol .Scrofulous ophthalmia, and in purulent conjunctivitis in adults or children when the discharges are thin and excoriating; profuse burning, excoriating, watery flow, or thin, acrid, partly purulent discharges; generally severe pain worse at night.
Pulsatilla. Scrofulous, and purulent conjunctivitis; in scrofulous individuals, when little raised points on the conjunctiva only matterate; in catarrhal and purulent, when the discharge is blank and profuse; in trachoma, with very fine granulations. Thick, white or yellow, bland, and generally profuse discharges are especially characteristic of this remedy; pains better out of doors.
Calcarea Carb. Inflammation due to exposure to wet; all symptoms worse during damp weather; catarrhal conjunctivitis in fat, unhealthy, scrofulous children.
Belladonna. Early stages of inflammation, with great dryness 6f the eyes; extreme sensitiveness to light; throbbing pains.
Hepar Sulph. Discharge of pus, with ulceration of the cornea; intense aversion to light; great redness of the eye; lids swollen, close spasmodically, sensitive to touch; yellowish white discharge.
Sepia. Recurring attacks, especially in the spring of the year, or cases always worse in hot weather, also in women with uterine troubles.
Sulphur. Catarrhal cases, especially chronic and in scrofulous children with skin eruptions; eyes worse from bathing, child will not have them touched; sharp, shooting, cutting pains.
Always remove the cause of the trouble so far as possible, stop overuse of the eyes, protect them from exposure to light, dust, etc. Foreign bodies must be removed. In simple inflammation wear smoked glasses. Do not apply homemade poultices of any kind; they may make a simple case very serious. Compresses wet with ice water or with water as hot as can be borne often afford relief; change frequently. Cleanliness is always essential; as a wash, solution of boric acid, ten grains to the ounce of warm water, can always be used with safety.
Discharges from the eye must frequently be removed with little pieces of soft old linen or absorbent cotton, which must afterwards be burned.
In purulent ophthalmia in infants, when the discharge is profuse, wash the eyes with warm water, dry the lids gently and with a medicine or eyedropper, instill one or two drops, not more, of a solution of nitrate of silver, ten grains to one ounce, once a day. The same treatment is equally good for adults infected by gonorrheal or syphilitic discharges. When but one eye is affected, the other may be protected by covering it with a watch crystal, held in place by strips of adhesive or surgeon's plaster. Remember the discharge is very contagious; the patient's towels, etc. must never be used by anyone, and the hands of the attendant should be thoroughly washed in I to 40 carbolic acid solution. For copious, pus like discharges, frequent washing, out of the eye with warm water containing as much boric acid as it will dissolve, is recommended, or use peroxide of hydrogen, or formalin, 1 to 2,000.
In diphtheritic or croupous conjunctivitis strong astringents must not be applied to the lids; the conjunctiva may be brushed over with lemon juice every six hours. Keep the eyes clean with boric acid solution. Hot applications are better in these cases than cold.
In all forms of inflammation where the lids tend to adhere, Vaseline or cosmoline may be applied.
In trachoma the affected surface may be brushed over once a day with the following preparation: one ounce of glycerin to which six grains of carbolic acid have been added. Use a camel's hair brush. Cold compressed are beneficial.
In all eye affections the general health must be looked to; simple, nourishing, unstimulating food taken, good hygienic surroundings secured, and in cases of debility some standard preparation of iron, arsenic and quinine used, or cod liver oil.
Ulcers of the Cornea.
ULCERS may follow inflammation of the conjunctiva or be caused by foreign bodies, or in the aged by defective nutrition. There is great aversion to light; watering and redness of the eye, and on the cornea first a grayish yellow spot which changes to a superficial or deep ulcer with sloughing margins; there is more or less pain, and the eyes are kept tightly shut.
Rhus. Tox. Superficial ulcer, with extreme sensitiveness to the light and profuse flow of tears.
Conium. Superficial ulceration with little or no redness of the conjunctiva,' but intense sensitiveness to the light, and much watering of the eyes.
Mercurius Sol .Superficial or deep ulcers, especially in syphilitic or scrofulous individuals with profuse, burning, excoriating flow of tears, much pain; lids thick, red and swollen by the thin, acrid discharge.
Hepar Sulph. Deep, sloughing ulcers with severe, aching, throbbing, stinging pains, better from warmth, worse from cold and uncovering the eye; eye sensitive to light and touch.
Argentums Nit. Ulcerations of the cornea in newborn infants, with profuse discharge from the eyes.
Silicea. Sloughing ulcers, and small round ulcers, slow to heal.
Also Calcarea carb. Ulcerations in fat, flabby children with sweating of the head. Sulphur, acute and chronic cases, with pus, splinter like, shooting pains in the eye toward morning; scrofulous individuals. A dose of the indicated remedy three times a day.
Small pieces of flannel dipped in very hot water, applied to the eye and changed about every two minutes, the applications continued from ten to thirty minutes at a time, three to eight times a day will give much relief; also bandaging, using some pressure.
With a medicine or eyedropper apply atropine one grain to the ounce, twice a day; if the ulcer is central, or eserine, one half grain to one ounce once a day, if the ulcer is near the margin and deep.
Build up the general health and stay in the house; keep the bowels open; protect the eyes by smoked glasses if a bandage is not used, but the latter is strongly recommended.
Rheumatic Pains in the Eyes.
During inflammatory rheumatism, the eyes may be exceedingly painful, and temporary blindness may accompany the disease.
Aconite. When there is much soreness, pain, feeling of sand in the eyes, roughness and irritation.
Apis. Rheumatic inflammation of the left eye; the white of the eye looks like raw meat, redness extending over the cheek.
Cimicifuga. Soreness of the eyeballs on moving eyes; sensitiveness to light and touch; intense aching pain.
Spigelia. Sharp, tearing pains with pressure in the eyeballs.
Belladonna. The eye feels too large for the socket, and as if it would burst; much pain and sensitiveness to light.
Also Bryonia. Sense of pressure and heaviness in the eyes; intermittent pains much worse on moving the eyeballs, or. opening the eyes. Sulphur. Dullness; spots before the eyes. Rhus. Redness, swelling and aching of the eyes; stiffness and soreness of the lids; dimness of vision. A dose of the indicated remedy three times a day. The remedies under "Rheumatism" should be consulted.
Specks on the Cornea.
LITTLE, opaque spots on the cornea may be left after scrofulous inflammation has passed away. These may be removed by daily doses of Sulphur or Euphrasia.
WHEN the eyes are watery, or prone to become so, from slight exposure to wind or cold, the difficulty may be obviated with daily doses of Pastille, Mercurius vivus or Lachesis. Bloodshot eyes will be relieved by daily doses of Euphrasia.
Weakness of the Sight. Amblyopia.
THE term amblyopia signifies a reduction of the normal power of sight which cannot be relieved by glasses, and which is not dependent upon any visible changes in the eye, although occasionally the term is used for poor sight when some changes can be discovered. Absolute blindness unaccompanied by changes in the eye, has another name, amaurosis.
To know the different causes of amblyopia, is to know to a certain extent what preventative or curative measures to take; for instance the excessive use of tobacco and alcohol; malaria; syphilis; some forms of kidney disease; hysteria; large doses of quinine; exposure to a strong electric light and to the glare of snow all may result in this disease. Blows on the head, loss of blood, and a stroke of lightning are occasional causes. Many other causes are mentioned in connection with the remedies.
Blindness to certain colors may exist from birth, or occur afterward from some disturbance of the nerve fibers of the eyes.
For SIMPLE WEAKNESS OF SIGHT in plethoric persons, give Belladonna; for scrofulous individuals, Calcarea; for weak or debilitated individuals, China; for nervous persons, Hyoscyamus. For those whose sight is impaired from biliary derangement, Sepia or Sulphur. For INCIPIENT AMAUROSIS, Aurum, Sepia, Sulphur. For COMPLETE AMAUROSIS, not incurable, give Belladonna to persons of full habit; Calcarea to persons who have a scrofulous tendency; Mercurius, for those suffering from hepatic derangement; Phosphorus, for those suffering from catarrhal affections; and for those subject to sick headache, Sepia. For TORPID WEAKNESS OF SIGHT, Phosphoric acid. For weakness of sight brought on by fine work, give Belladonna or Ruta. For that which occurs from old age, give Baryta carb., Opium or Secale cornutum. Where weakness of vision occurs after suppression of the menses, or hemorrhoids, give Pulsatilla or Lycopodium. For that occasioned by suppression of measles, Causticum, Stramonium or Sulphur. For that supervening upon rheumatism, give Belladonna, Pulsatilla or Rhus tox. For that attendant on gout, give Nux vom. or Colchicum. For that caused by the abuse of mercury, give Nitric acid. For that caused by worms, give Cina. For that occasioned by diarrhea, give Merc. viv. For that brought on by loss of blood, China. For that produced by scrofula, give Arsenicum, Calcarea or Nitric acid. Men produced by cold in the eyes, Dulcamara or Nux vomica. That produced by blows or concussions requires Arnica, Ruta, Euphrasia. The remedies chosen must not be repeated oftener than once a day. Men weakness of sight is attended with nervous headache, give Aurum, Belladonna, Bryonia, Sepia or Sulphur. If by congestion of blood to the head, give Belladonna, China and Phosphorus. For that attendant on deafness or noises, give Cicuta, Nitric acid or Pulsatilla. The remedies need not be repeated more frequently than once or twice in twenty four hours. If weakness of vision is attended by gastric or abdominal ailments, give Cocculus, Nux vom., Ignatia or Pulsatilla. If attended by derangements of the womb, give Calcarea or Sepia. If by pulmonary complaints, give Phosphorus, Lycopodium, Calcarea and Sulphur. If by disease of the heart, Lachesis, Phosphorus, Pulsatilla, Sepia and Spigelia. If by epilepsy, spasm or hysteria, Hyoscyamus, Opium, Stramonium or Sulphur. The remedy may be repeated, if necessary. every twenty four hours.
The particular indications for several of the remedies may be stated as follows:
Aurum. The upper half of the field of vision seems to be covered by a black body, the lower half is visible; everything is seen double, and one object mixed with another; sudden attacks after scarlet fever, or during confinement after delivery.
Belladonna. Dimness of vision or actual blindness; objects have a double rim or outline, look red; a large halo sometimes red, sometimes broken into rays, appears around the flame of a candle flashes of light or sparks before the eyes; pupils of the eyes dilate; eyes feel dry.
Arsenicum. A valuable remedy in loss of vision dependent upon the use of tobacco, or upon wasting away of the optic nerve.
Calcarea Carb. Farsightedness, but only one side of objects is visible; dimness of sight after getting the head cold; flickering, sparks and black spots before the eyes; light is painful.
Causticum. Sensitiveness to light which causes constant winking, flickering before the eyes as from a swarm of insects, winking causes the appearance of sparks of fire before the eyes even on a bright day; dimness and indistinct vision; as if a veil or thick cloud was before the eyes; transient dimness of vision on blowing the nose.
China. Dimness and weakness of sight in malaria, and with roaring in the ears after loss of blood, also blurring of objects, generally dilatation of the pupils, aching of the eyes on attempting to read or write.
Cicuta. Objects appear double and black, and to alternately approach and recede, for this reason the inclination on standing is to hold on to something.
Cina. On rising from bed all becomes black before the eyes, with dizziness and faintness, and unsteadiness on walking; relieved by lying down; yellow vision; on reading, the letters are blurred; eyesight better from pressure and rubbing the eyes.
Cimicifuga. Aching pains of the eyeballs and black specks before the eyes, especially during menstruation.
Gelsemium. Dimness of sight and vertigo; smoky appearance before the eyes, with pain above them; confusion of sight objects appear double but by an effort appear single; blindness. A valuable remedy in paralysis of the nerves, and in disturbances of vision following apoplexy.
Hyoscyamus. Vision obscured; objects seem indistinct; sensation as if a veil were before the eyes; deceptive vision, one of two equal sized flames seems smaller than the other or larger; things not present are imagined seen.
Lycopodium. Especially valuable in "night blindness" or "moon blindness" caused by exposure to strong brilliant lights, a tropical sun or working before a furnace; evening light blinds the eyes; only half an object is seen; floating black spots before the eyes at a short distance.
Nux Vom. The chief remedy for impairment of vision. due chiefly to the use of alcohol or even to dissipation in general; beneficial after the excessive use of tobacco; vision cloudy; eyes cannot bear the daylight, and vision is obscured, especially in the morning.
Phosphorus. Cloudiness or dimness of vision; everything seems in a mist; green halo around the light of a candle; vision better in the morning, in twilight, and when shading the eyes with the hands; black floating points before the eyes; eyes give out while reading.
Ruta. Blurring of vision, watering of the eyes, letters seem to run together, these symptoms caused or made worse from reading or doing fine work; eyes weak, ache and burn, worse in the evening.
Sepia. Fiery sparks and zigzags before the eyes, with great weakness; vision obscured as if by a veil, better on lying down, worse during menstruation, and mornings and evenings.
Silicea. Blackness before the eyes after a headache; letters run together and look pale; black spots before the eyes.
Sulphur. Heaviness and aching of the eyeballs when reading or writing, with dimness of vision as in a fog, seems better from slightly pressing or rubbing the eyes; both near and distant objects appear as if veiled.
Veratrum Vir. Dimness of vision, faintness, and even blindness on walking; vertigo and pain from the light relieved by closing eyes, and lying down; unsteady vision; sympathetic eye troubles after great nervous strain.
A dose of the indicated remedy every night. By proper care much may be done to prevent or cure dimness of vision. Never work or read in the twilight or facing a strong light. Have any refractive errors corrected by glasses. Do not overeat, or eat rich or stimulating foods, or use tobacco, stimulants or any drug to excess. Avoid all forms of dissipation, mental or physical.
Treatment should be begun at once for any disease such as gonorrhea, syphilis, diabetes, Bright's disease, etc. Consider hysteria a disgrace, and endeavor to control all the emotions, at the same time improving the general health by nourishing food, exercise out of doors, baths, massage and electricity. When exposed to a strong light or glare as when at sea, or when there is much snow, wear smoked glasses. Protect the eyes from high, cold winds and dust. Avoid late hours and overwork or excitement; don't worry.
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