§ 280. Rheumatic ophthalmia.

In rheumatic ophthalmia, the pains are sticking and tearing, and aggravated in warmth. It is generally attended with other rheumatic pains, a tearing headache on the affected side, toothache, etc. The whole eye is red, with intense photophobia and profuse secretion of tears. This kind of inflammation is more dangerous than any other, in this respect, that it is disposed to spread from the conjunctiva to the other membranes of the eye, giving rise to corneitis and iritis. If the cornea should be invaded, ulcers and their products, to which they give rise, soon make their appearance.

In the commencement of the disease, and if the inflammation should be slight, Pulsatilla will relieve the pain, Bryonia remove the inflammation. Rhus tox.. particularly after Aconite, may likewise suffice to control the pain and inflammation.

If the pressure in the eyes, the photophobia, lachry-mation should be increased in the open air; if the eyelids should be agglutinated in the morning, with a feeling of heat in the eyes; if the iris should likewise be inflamed, Clematis erecta is the most suitable remedy.

* One of the most important remedies for catarrhal ophthalmia is Aconite, particularly in nervous individuals. Even in mismanaged cases of this kind, with extensive ulceration of the conjunctiva, deep-seated aching, and sore pain in the eyeball, boring or sharp-aching pain in the frontal sinuses, Aconite is the specific remedy, even if there should be little or apparently no fever. - Hempe/.

If the tearing pains should have become intolerable, if the inflammation should have extended to the cornea, With decrease of the photophobia, but increased intensity of the hemicrania, Euphrasia will be found eminently serviceable. The remaining symptoms will then yield to Sulph., Calcarea, or Causticum.