THE ROUND TABLE covered two principal topics: first, external diseases of the eye, especially in relation to infection and to lid and conjunctival lesions; and, second, growth and development of the eye with stress upon eye movements, refractive errors, and strabismus.
External diseases of the eye are often primary, but pathology in this area frequently is found to reflect systemic illness.
Various glands of the lid were defined and the pathology of each reviewed. In the fibrous tarsal portion of the lid lies the Meibomian gland, the sebaceous secretion of which prevents the spillage of tears and protects the lid margin. The acute inflammation is usually staphylococcal, and tends to persist to produce a granuloma surrounded by fibrous tissue. A chronic chalazion consists of round, epithelial and giant cells without acid-fast organisms. Heat may be useful initially in the acute stage; however resolution is slow and usually terminates in a hard, persistent nodule. The removal of the chronic chalazion is by curettage.
The glands of Zeiss are the sebaceous glands for the lash follicles. By contrast, infection of these results in a self-limited disease, hordeolum or stye, which drains itself spontaneously or may require local incision. Rarely are there complications following a hordeolum. Some individuals are more susceptible to repeated infections, and prevention remains an unsolved problem.
The sweat glands of the lid, or glands of Moll, may form simple cysts on the lid margins which rupture easily.
The lacrimal glands in the upper part of the lid are seldom involved in an inflammatory process, except occasionally in mumps or sarcoid.
- Copyright © 1959 by the American Academy of Pediatrics