According to Ohlemann, among other treatment of these diseases is included massage upon the everted conjunctiva with 3 per cent. yellow precipitate ointment.

Spring Catarrh* (Saemisch) - Summer Conjunctivitis (Schweiger) - C. Marginalis Hypertrophica (Pagenstecher) - C. AEstivalis Hansen-Grut Hypertrophic perikeratique ( Desmarres).

These in a developed form present a quite characteristic picture in that the palpebral conjunctiva of the upper eyelid is covered with a mass of smooth granulations separated from one another by narrow, deep grooves (so that it has an appearance which has been compared with paving). In the bulbar conjunctiva there arises an infiltration, either in the form of isolated small, rather hard lumps, or in a long stretched yellowish elevation. Over the whole conjunctiva there is a whitish film like a thin milky membrane. The disease is principally one of youth, and lasts a long time, the subjective symptoms (itching, sensibility to light) quite disappearing during the cold season of the year, and the objective symptoms going back somewhat (though not nearly to the same extent), chiefly because the hyperaemia diminishes. The disease lasts several years, but usually entirely disappears leaving no trace.

Pagenstecher, Klein, Schenkl, Darier, and Michel have treated this interesting form of conjunctivitis with remarkable success by massage, which is the more worthy of consideration because the former customary methods, collyria, cocaine (to counteract itching), surgical removal of the granulations, etc., have been practically ineffectual. Pagenstecher massaged with a 10 per cent. yellow precipitate ointment, gave two treatments daily, and in a short time brought about recovery in the most obstinate cases. According to Darier, who for the rest praises massage in these cases (with lanoline-mercury ointment), the papillary excrescences on the tarsal conjunctiva show themselves strongly resistent to treatment; they are certainly best attacked by massaging, as I recommended with regard to trachoma, with the little finger of one hand in the conjunctival sac, or with a short glass rod placed there, and with the index finger of the other hand as a support outside the eyelid. Michel massages every other or every third day, with the finger on the upper eyelid, in gentle quick kneading's for at least five minutes, and uses for this sublimate ointment (hydrarg. perchlor. 0.003, white American vaseline 30).