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Related post: as it does in the case of a carious tooth or of common Tic, thefact really is, that this ophthalmia occurs through the whole sea-son which produces intermittents and remittents, if less conspi-cuously in the autumn; and also, as I remarked in the last chap-ter, that it Chlorpromazine Price abounds most in those seasons or years in whichmarsh fever rages most. The recent seasons of highly activeMalaria in our own country, will establish this fact to any care-ful observer.But it is completely proved by the geographical bearings ofthis ophthalmia, that Malaria is at least its chief cause, as it isthat of all the Neuralgias; however ignorant we as yet are ofthe local causes, or otherwise modifying circumstances, which,in this case as in so many other diseases arising from that poison,determine the particular action. Thus, as I have just remarkedfrom Monfalcon, and as I could confirm through many otherwritten and living testimonies, it abounds in all the pestiferousdistricts of France: while under the general ignorance of Neu-ralgia in all its forms, it is no objection that French physicianshave not drawn the same conclusion; nor, I might add, Italianones either, nor, in fact, even our own medical persons conver-sant in climates of this character, wheresoever situated.As further facts of this nature, I may also remark, that thisophthalmia, or at least an ophthalmia which, in every case whereI could procure an accurate report of the symptoms, possessesthis character, is endemic on all the coasts of the Mediterraneanwhere fevers abound; occurring also, very remarkably, at thesame season, or in the pestilential months of summer and au-tumn. Thus, to speak more specifically, it prevails along allthe marshy or wet coasts of Barbary, during four months; andat Tripoli in particular, to such an extent, that few escape it.Thus also it is common in Rome, in Naples, where it is falselyattributed to the glare of the sun (a circumstance which may,however, bean assisting cause) and in Florence, which howeverpraised as Buy Cheap Chlorpromazine a climate, cannot be free from Malaria when the Arnoin summer exposes little but putrid mud and marshes, as well asin many other parts of Italy: being also the cause of that fre-NEURALGIC OPHTHALMIA.quent blindness, among the lower orders especially, which canscarcely fail to have attracted the attention of travellers. Thatthe Lippi of ancient Rome, so often noticed by the classicalwriters, were so from the same disorder and from the same cause,is also extremely probable. With respect to Spain, I have themost distinct information from the Captain Morillo, inspector ofhealth at Alicante, that this ophthalmia is very common on themaritime coasts which are subject to fevers, being particularlyprevalent in Valencia, and at Albatera and Clivillente, and oftenfollowed by blindness. This testimony is unquestionable; be-cause while it is described as attacking the eyes alternately, itsnature as well as its causes are there mistaken, just as they arewith us; the latter being generally sought, by the people, in thehandling of pomegranates. This is just what happens amongour own vulgar in attributing fevers to autumnal fruits: the sea-son of the disease in Spain being September and October, whenMalaria is most active: while this particular limitation of time,as well as of place, the peculiar redness and tumefaction of theeyelids, and the incurable (esteemed) nature of the disease, leaveno doubt whatever that it is the ophthalmia in question. I havereason to believe too, from some reports, that this peculiar dis-order is found also in the unhealthy tracts of Western Africa:but so much confusion has existed among bad observers betweenthis and the contagious ophthalmia, that I cannot disentanglethese reports to my own satisfaction. And let me remark bythe way, that this latter observation will probably turn out to beof considerable importance; as I have seen numerous cases ofthe neuralgic ophthalmia so misnamed in this country, with con-sequent maltreatment; and have no doubt that it is a far morecommon error in the climates especially subject to Malaria andfevers. If Wardrop remarks that it is frequently attended bybiliary symptoms, (as occurring, I presume, in autumn chiefly)the solution of this fact becomes as obvious, as the fact itselfconfirms a view on which I think I need not longer dwell.To Chlorpromazine Cost proceed to the description of the rheumatic or neuralgicophthalmia.There is a peculiarity in the aspect of the inflammation itself,far easier to recognise than to describe, and by Order Chlorpromazine Online which alone it isgenerally distinguishable, even at a distance, and on a mereglance, to those who have acquired that experience which inother cases is called the tactus eruditus. I have sought in vainfor expressions to say fully what this is; but I believe it to be asuseless as difficult, since, however accurate they might appear tothose who already know this inflammation by sight, they wouldnot teach others to know it, inasmuch as no visible object canbe justly described to the previously ignorant; while such a de-scription would be useless to those who are already experiencedNEURALGIC OPHTHALMIA. 359in this ophthalmia. The more obvious character, however, is adull, rather than a lively red colour, not unfrequently attended'by a tinge of yellow; the cause of which is especially visiblein the sound eye when but one is inflamed, and the source ofwhich must now also be obvious, particularly in autumnal cases.This inflammation occupies the whole conjunctiva, even to theverge of the cornea; and while the redness is rather producedby the minutest branches of the arteries than the larger ones,the general aspect is almost that of an additional coat of red