**Belladonna is, perhaps, the most frequently indicated remedy in eye troubles. It is suitable to ophthalmias where there is great inflammation, dry, injected eyes, a total absence of lachrymation; in fact, the ***intensity and violence of its symptoms are its leading indications. In the early stage of acute conjunctivitis, iritis or retinitis, with sudden violent spasms and great ***intolerance of light and iritis, will call for **Belladonna, and here its photophobia will distinguish it from **Aconite. It is also useful in affections of the eyes from overuse or from use in poor light. It corresponds to iritis of traumatic origin, retinal congestion and retinitis, recent and acute, with bright sparks before the eyes. It is a remedy, along with **Lachesis and Crot., in retinal haemorrhage.
**Aconite is to be preferred in the beginning of a conjunctivitis, or in fact any acute inflammation of the eye, when of traumatic origin, as from a foreign body, the eyes feel full of sand, there is photophobia and painful inflammation of the eyes from exposure to cold, or from the action of acrid substances in the eyes, as from wounds or burns. It is also the first remedy in other forms of conjunctivitis.
**Glaucoma; here also **Opium should be consulted in this affection, as it gives us a very suggestive picture of glaucoma, as does also **Cocaine muriate. **Spigelia has violent, sharp-cutting eye pains, but it lacks the congestion of **Belladonna. It has a sensation that the eyeballs feel too large, which is also found under **Paris quadrifolia, which is a valuable remedy in certain forms of asthenopia with inability to fix the eyes on anything steadily; it has, too, the peculiar symptoms of a sensation as if a string were drawing the eye back into the head, as if the optic nerve were too short. It is of more use than any other remedy for the sharp shooting and sticking pains accompanying glaucoma. They are worse at night and on motion **Glonoine has protrusion of the eyes and troubles from exposure to bright light, heat, argand burners, etc., producing a retinal congestion. The elements of **Belladonna are: 1. Suddenness and acuteness of symptoms. 2. Great intolerance of light.
Rhus toxicodendron. [Rhus-t]
One of our most important ophthalmic remedies, and oedematous swellings, redness and acrid discharges mark the drug. It corresponds to chemosis and produces a great tendency to the formation of pus. It is of great use in scrofulous ophthalmias and is also specific in orbital cellulitis with great intolerance of light, so much so that the eyes cannot be opened even at night. The ears are hot and scalding and cause pimples on the parts bathed in them. A gush of tears on separating the lids is a trustworthy indication. The secretion is **rather scanty and there is much pain in the eyes and often spasmodic closure of the lids. It corresponds to conjunctivitis from getting wet, rheumatic iritis, with pain shooting from eyes into head, worse at night and in damp weather. Rheumatic ptosis calls for **Rhus. **Causticum, Gelsemium and Kalmia have stiffness of the lids. **Rhus is of marked use in suppurative iritis and is often beneficial after cataract extraction to control threatened iritis and formation of pus. **Apis has oedema of the conjunctiva, and may be a useful remedy in asthenopia, staphyloma and in strumous ophthalmias. **Nux and Sepia have drooping lids and **Terebinth and Thuja have a useful in iritis.
The various preparation of mercury are of a paramount use in eye affections. **Mercurius is of use where the general catarrhal symptoms are prominent. Blepharitis and conjunctivitis from cold or in those who work about fires as in foundry men; the pains are worse at night, the lids are thickened, the eyes discharge a thin muco-pus, making the cheeks sore and pimply; superficial ulcers appear on the cornea with a tendency to spread. It is one of our most important remedies in ophthalmias neonatorum, especially if due to syphilis. No form of iritis has been noticed in workers of mercury, and though the drug has been prescribed with success in syphilitic iritis, another preparation of mercury, **Mercurius corrosivus is almost specific. Therefore, do not give **Mercurius in iritis; it is an allopathic legacy of no value.
**Mercurius has also been found useful in styes, glandular affections and rheumatic troubles of the eyes. Where the glandular swellings are excessive **Mercurius biniodide may be chosen; **Mercurius protoiodide is especially of use in corneal ulcers. Deady regards this remedy as our best in this affection; the ulcerated surface looks as if it had been chipped out by the finger nail, and there is accompanying a yellow-coated tongue and a tendency to a rapid extension of the ulceration.
**Mercurius dulcis also a remedy for eye troubles in scrofulous children.
**Mercurius corrosivus. This remedy is marked by violent symptoms, burning, agonizing pains, profuse excoriating lachrymation, which takes the skin off from cheeks, tearing pains in the bones of the orbit, ulcers of cornea with tendency to perforation.
If there is any “best remedy” for iritis it is **Mercurius corrosivus. It is almost a specific for simple and syphilitic iritis, accompanied with pains in the eyes, extending over the top of the head. The exudation is rather serous than plastic.
Retinitis albuminurica also finds a remedy in **Mercurius corrosivus. **Jaborandi is an excellent internal remedy in iritis; it allays inflammation, controls spasms of the muscles and will absorb adhesions.
**Cinnabaris has inflammation and pain in the eyes and its indicating symptom is pain going from one canthus around the eyebrow to the other.
**Kali bichromicum is a prominent remedy for ulceration of the cornea where there is a tendency to perforate, especially in the circumscribed ulcers with clear cut edges, as if cut out with a punch. It is indicated by indolent inflammation, swollen and agglutinated lids in the morning, little photophobia, the indolence is marked, eyes not very red; in fact, there is with this remedy an absence of inflammatory redness and proportionate absence of photophobia. It is use in catarrhal and strumous ophthalmias with tendency to granulation.
**Clematis follows **Mercurius corrosivus well in iritis, and Hughes speaks highly of it in the syphilitic variety. Great sensitiveness to cold is one of its leading indications It should therefore be remembered in inflammation of the iris from cold, with pressing pain, great photophobia, lachrymation and heat in the eyes, with the sensitiveness to cold air. The eyes are so sensitive to the air that the patient covers them. It is closely allied to **Rhus toxicodendron in its action. Buffum claims **Gelsemium to be the most valuable remedy for the serous variety of iritis.
Ferrum phosphoricum. [Ferr-p]
The tissue remedies have taken an important place in the therapeutics of eye affections. Two or three of them have proved themselves almost indispensable, thus, **Ferrum phosphoricum is especially useful in acute catarrhal troubles in their early stages accompanied by the burning sensation, aggravated by motion, and red, congested, inflamed appearance. There is no secretion of mucus or pus. It is especially adapted to conjunctivitis with great relaxation of that membrane, and surpasses **Aconite in the majority of acute superficial inflammations about the eye.
**Kali muriaticum is another tissue remedy that has proved itself useful in eye affections. It corresponds especially to corneal troubles, inflammation and ulceration, and especially in the ulcers of an asthenic type, tedious cases with no special redness of the conjunctiva, lachrymation, pain or photophobia. It is suitable to the non-vascular variety of parenchymatous inflammation of the cornea.
**Kali sulphuricum is sometimes most useful in ophthalmias neonatorum, in gonorrheal ophthalmias and in abscess of the cornea, also **Calcarea sulphurica. **Calcarea fluorica has a noticeable influence in diminishing opacities of the lens, partial blindness from cataract; it is worthy of extensive experimentation in cataract. Also useful in cysts of the eyelids.
A most valuable remedy in eye troubles. It has an abundance of paralytic symptoms, diplopia, double vision and ptosis. These symptoms are associated with soreness of the eyeballs, dark red face and general symptoms of the drug. Double vision is very characteristic, and giddiness and pains in the eyeballs are sure indications for the remedy. Intra-ocular inflammations, where serous exudations occur, dull pains, double vision and vertigo will indicate
**Gelsemium. In serous iritis, choroiditis where there is a gradual impairment of vision and heavy lids, it is the remedy. It produces also an inability to accommodate quickly. It has been used for detachment of the retina and some forms of asthenopia and in astigmatism with considerable success. Strabismus from weakening of the muscles is also characteristic and therapeutically it has been found useful in strabismus and ptosis following diphtheria **Gelsemium is one of the most valuable remedies in glaucoma, often palliating the severe pains and improving the neurotic symptom of the disease. **Gelsemium dilates the pupil through its paralyzing effect on the third nerve.
**Bryonia may be thought of in rheumatism of the eyes, with violent pains shooting through the eyeball into the back of the head or up towards the vertex; worse by moving the eyes.
In rheumatic iritis it is the first remedy to be thought of, and it is quite as useful in syphilitic; in fact, in any form of iritis; the pains are sharp shooting in character, extending into the head and face, moving or exciting the eye aggravates the pain. A sensation as if the eyes were being forced out of the socket is also found under **Bryonia. It comes in after **Aconite or **Ferrum phosphoricum, which are the remedies for the first stage, especially for the sudden variety with burning and dryness. **Terebinth has rheumatic iritis with intense pains in the eyes and head, and the urinary symptoms are perhaps present. **Arnica is a useful remedy in rheumatic iritis, but it corresponds especially to the traumatic form; here **Hamamelis should be thought of, especially if there be haemorrhage into the iris or anterior chamber.
**Bryonia may be found useful in glaucoma. There is an increased tension of the eyeballs, lachrymation and photophobia. The eyeballs are sore; it is no useful when the external coats of the eyes are involved.
**Phosphorus has hyperaemia of the choroid and retina, hence is useful in retinitis pigmentosa and albuminurica; the symptom that objects look red leads to its consideration; also amblyopia and asthenopia are benefited by **Phosphorus. Cataract; also **Silicea, Conium, Natrum muriaticum, Magnesia carbonica and Causticum are used here. It is useful in glaucoma beginning with recurrent neuralgic attacks; it will diminish the pain and check the degeneration.
**Conium. The characteristic of this remedy in scrofulous ophthalmias is the intense photophobia, which is all out of proportion to the degree of inflammation, for little or no redness is present. This is due to an increased irritability of the nerves of the eye. Tears gush out on opening eyes. Dr. Talbot, of Boston, reports success with this remedy in cataract. It has many symptoms similar to acute cataract. Dr. Dudgeon thinks it useful in premature presbyopia, but of little use in adult presbyopia.
**Zincum has proved of service in pterygium with smarting stinging at the inner canthus and in opacities of the cornea following long-lasting attacks of inflammation.
**Ratanhia has also cured pterygium in both man and animals. In the provings is a sensation of a membrane growing over the eye. It is worthy of a careful trial.
**Causticum has a well-established reputation of checking acute cataract. Dr.A.B. Norton found it the most useful remedy.
The general symptoms of the drug will guide to **Pulsatilla as much as the local. As a remedy for styes it has no equal; it causes them to abort before pus has performed.
**Pulsatilla has a special affinity for the lids, inflaming them and increasing the Meibomian secretion agglutinates them. Twitching of the eyelids with dazzling sight. Conjunctivitis from cold or accompanying measles. Catarrhal ophthalmias, especially of the lids, with agglutination in the morning, profuse lachrymation and secretion of mucus worse evenings, especially call for this remedy. The mucus is thick, bland, profuse, yellow or yellowish green and more abundant in the open air. Ophthalmias neonatorum; too exclusive a reliance should not be placed on it here. In its action on the eye it resembles **Argentum nitricum; it reinforces the action of this remedy, stirs it up, spurs it on. **Pulsatilla is especially serviceable for the mild, passive, lymphatic temperament and locally profuse, thick, bland discharges and not much pain or photophobia.
**Argentum nitricum also has the profuse purulent discharge and swollen lids, swollen from being distended by a collection of pus in the eye. It corresponds well to very old cases of blepharitis with thick crusts, worse from heat of fire; after measles also. Granular conjunctivitis, with profuse mucopurulent discharge. Asthenopia from want of accommodation. Purulent ophthalmias. **Aurum metallicum. Vilas states that care should be taken not to give this remedy too low. Opacities and ulcers on the cornea with great congestion. It is more useful in the trachomatous form of conjunctivitis than is **Pulsatilla. Glaucoma. Scrofulous ophthalmias; great vascularity is characteristic, profuse lachrymation; sensitive eyes. Syphilitic iritis with soreness of the bones; also **Asafoetida, which has burning pains above the eyebrows. It is a wonderful remedy in iritis. There is much retinal congestion, with relief from heat and half sightedness, the upper half of objects being visible. **Muriatic acid has one lateral half cut off; also, **Lithium carbonicum and **Lycopodium. The pains of **Asafoetida are relieved by pressure on the eye; they are throbbing and burning.
**Lycopodium has ulceration, redness and styes, nocturnal agglutination and lachrymation by day. Blindness of right half of visual field is also a symptom of the remedy.
**Staphisagria has styes and nodosities on the lids; they do not suppurate, but become hard, and there is great itching of the margins of the lids.
This remedy will be found especially useful in conjunctivitis from a foreign body, after **Aconite or **Ferrum phosphoricum; in scrofulous inflammation of the eyes, with tendency to congestion; the eyes are red and injected and there are splinter-like pains in them, worse in hot weather; it suits old chronic cases. Keratitis sub-acute conjunctivitis, particularly scrofulous cases with acrid discharge, hot tears flow out on opening eyes, also **Rhus toxicodendron.
**Calcarea carbonica. Out best remedy for scrofulous ophthalmias, corresponding to the worst cases; no remedy excels it in opacities and ulcerations of the cornea; the general symptoms will indicate the remedy. Discharge bland, cornea opaque and lids thickened. Conjunctivitis form getting wet, here resembling **Rhus toxicodendron. The eyes are so sensitive to the light that patient insists on thick covering, and lachrymation is constant. There are phlyctenules and pustules on the cornea and the lids are glued together. Fistula lachrymalis. Its effects are speedy and permanent in the characteristic **Calcarea child.
**Hepar sulphur has red, thick margins of lids with little points of pus appearing at the roots of the cilia; excessive soreness and sensitiveness of the lids is an indicating symptom. Vilas states that it will cure more cases of keratitis than any other remedy. It is invaluable in the suppurative form. It speedily absorbs hypopyon, and abscesses of the cornea require no other remedy. It has been called ” the king of remedies in ulceration of the cornea.” Acute symptoms, severe pains, worse by cold touch and bright light, hypopyon. The ulcers of **Silicea are sluggish.
oyle prefers **Ipecac to Conium in phylctenular keratitis in children with redness, photophobia and lachrymation.
One of our best remedies in eye affections; it has an inflammation of the lids, which appear red and injected, or perhaps ulcerated, with a profuse excoriating discharge, photophobia, cannot bear artificial light. Pustules near the border of the cornea. Reading or writing brings on pain in the eyes. Conjunctivitis, blisters and phlyctenules on the conjunctiva, blurred sight, acrid purulent discharge. Traumatic conjunctivitis. Rheumatic iritis, burning, stinging, shooting pains worse at night. Phlyctenular ophthalmias with excoriating discharge. It is especially useful in acute exacerbations of granular ophthalmia. **Euphrasia and Ruta are very old remedies in eye affections.
” Purge with Euphrasy and Rue
The visual nerve, for he had much to see.”
Blurring of vision, relieved by winking thus wiping the eye is especially characteristic of **Euphrasia. The 12X is a very useful strength.
**Kreosote has a blepharitis with a discharge of hot tears.
**Arsenicum. Here the great characteristic is burning, as if from fire, burning discharges relieved by warmth, intermittent pains, ulcerations of cornea, running a rapid course with a high degree of inflammation, are greatly benefited by this remedy according to Bayes. It is useful in obstinate cases of ophthalmia of he strumous variety when other remedies fail. Useful in glaucoma with periodical exacerbation of the pain which is intense and burning.
**Nitric acid is often indispensable in ophthalmia neonatorum, but its main use is in superficial ulcers of the cornea with splinter-like pains. It is also considered to be one of our best remedies in corneal opacities; also **Cannabis sativa must not be forgotten.
**Digitalis, according to Copeland, must not be forgotten in blepharitis, and Hahnemann mentions it in Meibomian inflammation.
**Sepia. In asthenopic conditions we have a number of remedies and among them is **Sepia, which especially suits asthenopia from uterine disease and sluggish, scrofulous, sub- acute cases. There is dryness of the eyes in the evening, the lids may be scaly and there will be drooping of the lids, worse in the morning and evening and in hot weather, relieved by cold bathing. There is blurring of slight and asthenopia from seminal losses, sudden vanishing of sight. It has also been used in trachoma and cataract. It is perhaps, the chief remedy in vernal conjunctivitis; the morning and evening aggravation is its great characteristic.
**Natrum muriaticum. A fine remedy in asthenopia, there is weakness of the internal recti, the eyes feel stiff while moving them, letters run together. It is also a valuable remedy in scrofulous ophthalmia with acrid tears and spasmodic closure of lids, in ulcers with inflamed eyes agglutinated in the morning, and in fistula lachrymalis. It suits scrofulous children having eruptions on border of hairy scalp.
**Artemesia. Asthenopia due to muscular defects and errors of accommodation. Colored light produces dizziness.
**Cina. Asthenopia, on attempting to read, letters become blurred and a cloud over the eye.
**Ruta. Is also a most a valuable remedy for affections of the eyes from overwork, where every tissue of the eye is irritable. Eyes burn, feel hot like balls of fire.
**Onosmodium is a very useful remedy in eye strain, with dull, heavy, sore, aching eyes. No inflammatory troubles– but patient is troubled with headaches and weakness. Dr. A. B. Norton finds the remedy gives prompt relief to many annoying symptoms.
Santonine. Hyperaemic conditions from continuous fine work, as in seamstresses. Also to be remembered in cataract. Objects look yellow.
**Ammoniacum gummi stands between **Belladonna and Ruta in asthenopia; the eyes smart and burn, especially when used at night by light.
**Agaricus. Asthenopia from prolonged strain with great twitching of the palpebral and ocular muscles. **Agaricus 12 has, in the experience of Dr. E. T. Allen, of Chicago, cleared up several cases of cataract.
**Asarum. Eyes feel stiff and burn or feel cold, better when in cold air, or bathed in cold water, worse in the sunlight.
Phlyctenular ophthalmia. It is one of our best remedies in vesicles on the cornea and ulceration in scrofulous children; there is intense burning, lachrymation; the canthi crack and bleed. Scrofulous ophthalmia with tendency to wild hairs. According to Norton this remedy comes nearer being a specific in blepharitis than any other.
**Borax, also, with soreness along lids. **Graphites is the great remedy in “gummed up, photophobia eyes.” and it is most useful in blepharitis, especially in eczematous subjects or following measles.
**Petroleum is also a remedy in blepharitis when the lids are red, raw and moist.
Hepar sulphur has especially throbbing in and about the eye, formation of pus, hypopyon, styes, cannot bear the eyes to be touched, pimples, great photophobia and relief of pain of by warmth.
**Hepar is one of our most important remedies for conjunctivitis, especially in cases that do not yield to **Aconite or Belladonna, following these remedies well.
**Alumina. Asthenopia from irritated conjunctiva, granular lids, loss of power of the internal rectus; also **Conium, Ruta and Natrum muriaticum. Dryness of the eyes also, **Crocus, Berberis, Natrum carbonicum and **Natrum sulphuricum. **Alumina is a remedy for ophthalmia senilis; its well-known power of producing dryness of the mucous membranes is seen here. After Operations on the Eyes.
**Aconite. Principal remedy.
**Ignatia. Violent pains in temples.
**Rhus tox. Pains shooting into head.
**Bryonia. Pains in head accompanied by vomiting.
**Asarum. Jerking pains with vomiting and diarrhoea.
**Crocus. Hammering and jerking in eye.
**Thuja. Stinging pains in temples.
**Senega. Promotes the absorption of lens debris.
**Strontium. Objects appear as if tinged with blood.