Natrum Sulph

Pain over eyes. Granular coujunctivitis. Photophobia in scrofulous ophthalmia. "No remedy, Graphites possibly excepted, has such terrible sensitiveness to light in chronic ophthalmias." (H. C. Allen.) Yellowness of the conjunctivae. Large, blister-like granulations with burning lachryniation, burning of edges of lids. Hypopyon.

Silicea

Stye on the eyelids, also use as a lotion to remove and hasten the discharge painlessly. If much inflammation, Ferrum phos. Deep-seated abscess of cornea. Hypopyon. Photophobia, sudden paroxysms of nyctalopia. Amblyopia and cataract after checked foot-sweat. Boils and cystic tumors around eyelids. Opaque cornea. Ciliary neuralgia over right eye. Kernels and indurations of the lids. Scrofulous ophthalmia.

Calcarea Phos

Spasmodic affections of the eyelids, if Magnes. phos. fails. Parenchymatous keratitis in scrofulous diathesis. Useful in checking cataract. Dry inflammation of the eyes during dentition. Photophobia. Corneal opacity. No use where the palpebral conjunctiva is much involved. Congenital amblyopia in children of a rachitic constitution and scrofulous diathesis, with general characteristics of the drug. Useful in non-vascular form of diffuse keratitis with more marked photophobia than under Kali mur. and accompanied by well-known scrofulous cachexia. Cataract appearing with lupus, cancer or tuberculosis, gout, etc.

Calcarea Sulph

Deep ulcers on cornea, ophthalmia, pus thick and yellow. Inflammation of the eyes with discharge of thick, yellow matter. Deep-seated abscess of the cornea (Silicea). Hypopyon, to absorb the effusion of pus in the eye (after Silicea). Retinitis. Sensation of foreign body; has to tie up, after injuries. Pus in anterior chamber. Phlyctenular keratitis and conjunctivitis, cervical glands enlarged. Inflamed canthi. "Has in my hands reduced purulent discharge in ophthalmia neonatorum." (H. C, F).

Calcarea Fluor

Flickering and sparks before the eyes, spots on the cornea, conjunctivitis, cataract. Indurations in the lids. Enlarged meibomian glands.

This remedy has been found of use in cases of partial blindness. Dimness of vision from overstraining the eyes. "I have prescribed Calcarea flour recently in my clinic in a number of cases. In one case of senile cataract where it was used there certainly was great improvement in sight" (R. S. Copeland, Prof. Ophthalmology, University of Michigan).

Clinical Cases

The following cases were furnished for this edition by Dr. T. M. Stewart of Cincinnati:

1. Weak child, 3 years of age. thin skull, folitanelles open, soft cataract of left eye. Caharea fluorica fix; in three mouths' examination showed anterior fomanelle closed, and child much improved in general health. No change in cataract.

2. The following trouble some symptoms not entirely relieved by wearing proper correcting glasses for compound hyperopic astigmatism were completely cured: The glasses were prescribed in June and patient reported in November following. Complanted of some. itching and burning, blurring of sight occasionally, floating specks before eyes, light aggravates all symptoms. Kali phos. 6x cured.

3. Epiphora from refractive error not entirely relieved from wearing corrective glasses. Calcarea ftuor, 6x entirely relieved the following symptoms: Itching of mucous surface of lids, eyes water and sensation of air blowing on eyes after use of glasses.

Parenchymatous keratitis, inflammation of right cornea extending over the whole of its surface, of three months' duration; patient could only count fingers; some pain, slight photophobia and redness, pupil dilates slowly under Atrop., but quickly contracts again. Aurum mur.. Cinnabar, with instillations of Atrop., did no good. Kali mur. fix cured. Cases of chorioretinitis cured by Kali mur. - Allen & Norton, Ophthalmic Therapeutics.

In the Homa-opatisikc Monatsblatter for 1882, p, 95, is a report of thirteen cases of cataract cured - eleven with Calcarea floor. Improvement showed itself within eight days. The other two cases required Kali mur. after Calcarea fluor.

The following cases from N. A. J. H., September, 1835, p. 15, reported by George S. Norton, M. D., show the beautiful action of Kali mur. in ulceration of the cornea:

Case of ulcer of the cornea large in size steadily increasing in extent, vascular base, moderate redness, no pain, slight photophobia, profuse lach-rymation, nose sore, corners ulcerated. Kali mur4. Improvement set in at once, and ulcer commenced to heal; within five days the vascularity disappeared, and in ten days the eye was perfectly well.

Case of ulcer of the cornea with elevated edges and vascular base, resulting from phlyctenular keratitis; in spite of all treatment it had steadily increased: cornea hazy around ulcer. Kali mur5. The ulcer began at once to heal, and in two weeks all inflammatory symptoms had disappeared.

Ulcer of the cornea from the same cause as the above, also a rapidly increasing purulent infiltration between the corneal layers. Photophobia well marked: moderate redness and no pain. Several remedies were administered with no benefit. Kali mur3. was prescribed, and a rapid cure fol-.

Child with ulcer near centre of cornea, which was deep: infiltration considerable. Pus in the anterior chamber; moderately red, 110 pain; Alrop., instillation. Hypopyon disappeared, and in twenty-four hours a rapid recovery followed under Kali mur3.

Mrs. B. L., from C--------, came to me on account of a swelling on right eye which appeared suddenly. A specialist had advised operation; the palpebral aperture, which was opened with difficulty, was filled with a yellowish-green, projecting mass. The conjunctiva was infiltrated and sight was lost. Kali sulph6. removed the swelling and inflammatory symptoms completely and permanently in one and one-half days. (Quesse).

Mrs. M, N., aged 46, was sent to me for treatment on May 9, 1892, by Dr, Boericke, with keratitis, involving the lower nasal third of the left cornea. The inflammation had existed since the previous Christmas, and had been subjected to rigorous allopathic treatment, with no improvement. The entire bulbar and palpebral conjunctiva was intensely inflamed. The corneal surface was vascular, with a decided ring of leucocytes round the border of the cornea, limited by the diseased area. There was a dense, irregular white opacity, reaching down into the interstitial elements, occupying the center of the affected territory, and covering an area of about one-eighth of an inch square. The clouded territory reached to the axis of vision. She could with difficulty discern large objects on the temporal side, but had no central vision. On May 9th she was put on Kali mur. 3X, every three hours. There was a marked improvement during the first twenty-four hours, and an astringent which had been given for the conjunctivitis was reduced in power and frequency, and finally discontinued. After the seventh day the Kali mur. was given in the 6x, every four hours, and was so continued up to the day of discharge.

On the 23d vision was 3/20 The larger part of the cloudy area had cleared up, and the leucoma had almost disappeared, and it is safe to predict a complete restoration of vision in a few weeks under Kali mur. (H. C. French).