On the issue of the treatment of trachomatous pannus

Abstract

Pannous inflammation of the cornea, as one of the earliest and most dangerous complications of trachoma, in its severity, course and significance for the patient's vision is not always in one way or another correlated with the strength or duration of the trachomatous process in the mucus of the eye. If in some cases the pannus disappears soon and without a trace, so to speak, by itself or solely under the influence of appropriate treatment of the conjunctiva of the arches and eyelids alone, then in other cases, most often encountered in the practice of an eye doctor, despite the most vigorous therapy of trachoma, the pannus not only does not show a tendency to reverse development, but, gradually or by leaps, from the initial, lighter degrees (pannus incipiens, R. levis) to more severe and persistent forms (R. crassus, R. sarcomatosus), often ulcerating at the same time and ending in cicatricial degeneration of the cornea (p membranaceus), leads the trachomaticus to complete inactivity for his entire subsequent existence. And since, in heavily overworked areas, an eye doctor has to deal with the most severe forms of this disease and its most diverse complications, of which corneal pannus accounts for more than a third of all of them, and the consequences, it is natural that the question of not mediocre treatment of pannus becomes urgent and requires practical measures of a special nature.