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By J. L. C. Martin–Doyle (Auth.)

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FASCICULAR U L C E R , w h i c h s t a r t s a t t h e l i m b u s a n d sweeps across t h e cornea, leaving a leash of vessels in its t r a i n . b. INFILTRATING P H L Y C T E N w h e n t h e d e e p corneal layers b e c o m e involved. c. MULTIPLE P H L Y C T E N S , v e r y small in size a n d a l w a y s around the limbus. d. R I N G ULCER, w h e n m u l t i p l e p h l y c t e n s coalesce. Severe p h l y c t e n u l a r ulceration causes a m a r k e d p a n n u s affecting a n y p a r t of t h e cornea.

X Ibid. 24 DISEASES OF THE CONJUNCTIVA Pterygium, continued. d a m a g e d , causing p e r m a n e n t corneal scarring. I t m u s t be carefully distinguished from p s e u d o - p t e r y g i u m , which is d u e t o a fold of c o n j u n c t i v a b e c o m i n g a d h e r e n t t o a corneal ulcer ; in t h e s e cases a p r o b e c a n b e passed b e n e a t h it, which is impossible in a t r u e p t e r y g i u m . T R E A T M E N T . — U n l e s s t h e p u p i l l a r y a r e a is in d a n g e r of invasion it is b e s t t o d o n o t h i n g .

I n its e a r l y stages i t resembles a n i n n o c e n t t u m o u r , b u t i t soon b e c o m e s obviously m a l i g n a n t , invading t h e pre-auricular and submaxillary glands and e v e n t u a l l y leaving s e c o n d a r y deposits in v a r i o u s p a r t s of the body. 2 . E p i t h e l i o m a . — T h e l i m b u s is t h e u s u a l site for t h i s g r o w t h as it is t h e j u n c t i o n b e t w e e n t h e epithelial surfaces of t h e c o n j u n c t i v a a n d c o r n e a a n d t h e s e g r o w t h s show a preference for such j u n c t i o n s .

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