Ophthalmy
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Ophthalmia (; also called ophthalmitis, and archaically obtalmy) is
inflammation Inflammation (from ) is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', '' ...
of the eye. It results in congestion of the
eyeball An eye is a sensory organ that allows an organism to perceive visual information. It detects light and converts it into electro-chemical impulses in neurons (neurones). It is part of an organism's visual system. In higher organisms, the eye ...
, often eye-watering, redness and swelling, itching and burning, and a general feeling of irritation under the eyelids. Ophthalmia can have different causes, such as infection from bacteria, viruses, fungi, or may result from a physical trauma to the eye, chemical irritation, and allergies. A bacterial infection can result in a mucus and
pus Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during infections, regardless of cause. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collect ...
secretion. Severe cases of ophthalmia can cause blindness if not treated, especially in newborns, who contract it from the environment in the womb. Treatments vary according to the nature of the cause, with minor irritations going away on their own.


Types

Types include
sympathetic ophthalmia Sympathetic ophthalmia (SO), also called spared eye injury, is a diffuse granulomatous inflammation of the uveal layer of both eyes following trauma to one eye. It can leave the affected person completely blind. Symptoms may develop from days to s ...
(inflammation of both eyes following trauma to one eye), gonococcal ophthalmia,
trachoma Trachoma is an infectious disease caused by bacterium '' Chlamydia trachomatis''. The infection causes a roughening of the inner surface of the eyelids. This roughening can lead to pain in the eyes, breakdown of the outer surface or cornea ...
or "
Egypt Egypt ( , ), officially the Arab Republic of Egypt, is a country spanning the Northeast Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via the Sinai Peninsula. It is bordered by the Mediterranean Sea to northe ...
ian" ophthalmia, ophthalmia neonatorum (a
conjunctivitis Conjunctivitis, also known as pink eye or Madras eye, is inflammation of the conjunctiva, the thin, clear layer that covers the white surface of the eye and the inner eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness ...
of the newborn due to either of the two previous pathogens), photophthalmia and actinic conjunctivitis (inflammation resulting from prolonged exposure to ultraviolet rays), and others.


Noted historical cases

*
Aristodemus In Greek mythology, Aristodemus (Ancient Greek: Ἀριστόδημος) was one of the Heracleidae, son of Aristomachus and brother of Cresphontes and Temenus. He was a great-great-grandson of Heracles and helped lead the fifth and final atta ...
, a Spartan captain during the
Second Persian invasion of Greece The second Persian invasion of Greece (480–479 BC) occurred during the Greco-Persian Wars, as King Xerxes I of Persia sought to conquer all of Greece. The invasion was a direct, if delayed, response to the defeat of the first Persian invasi ...
, was affected by ophthalmia and was thus unable to fight at the
Battle of Thermopylae The Battle of Thermopylae ( ) was fought in 480 BC between the Achaemenid Empire, Achaemenid Persian Empire under Xerxes I and an alliance of Polis, Greek city-states led by Sparta under Leonidas I. Lasting over the course of three days, it wa ...
(of the famous Spartan 300). However, he fought bravely and died at the
Battle of Plataea The Battle of Plataea was the final land battle during the second Persian invasion of Greece. It took place in 479BC near the city of Plataea in Boeotia, and was fought between an alliance of the Polis, Greek city-states (including Sparta, Cla ...
. Due to the ophthalmia, and his absence from the first battle, he was not buried with proper funeral rites of a Spartan captain. *
Cicero Marcus Tullius Cicero ( ; ; 3 January 106 BC – 7 December 43 BC) was a Roman statesman, lawyer, scholar, philosopher, orator, writer and Academic skeptic, who tried to uphold optimate principles during the political crises tha ...
, on 1 March 49 BC wrote to Atticus that he had ophthalmia. *
Eratosthenes Eratosthenes of Cyrene (; ;  – ) was an Ancient Greek polymath: a Greek mathematics, mathematician, geographer, poet, astronomer, and music theory, music theorist. He was a man of learning, becoming the chief librarian at the Library of A ...
, who among other things was a Greek geographer and mathematician, contracted ophthalmia as he aged, becoming blind around 195 BC, depressing him and causing him to voluntarily starve himself to death. He died in 194 BC at the age of 82. *
Hannibal Hannibal (; ; 247 – between 183 and 181 BC) was a Punic people, Carthaginian general and statesman who commanded the forces of Ancient Carthage, Carthage in their battle against the Roman Republic during the Second Punic War. Hannibal's fat ...
's sight was lost in his right eye in 217 BC by what was likely ophthalmia. He lost the sight while crossing a swamp area on a four-day march through water early in his Italian campaign. *Citing and 6:11,
Restoration Movement The Restoration Movement (also known as the American Restoration Movement or the Stone–Campbell Movement, and pejoratively as Campbellism) is a Christian movement that began on the American frontier during the Second Great Awakening (1790–1 ...
scholar J. W. McGarvey theorized that ophthalmia may have very well been the Apostle Paul's "
thorn in the flesh Thorn in the flesh is a phrase of New Testament origin used to describe an annoyance, or trouble in one's life, drawn from Paul the Apostle's use of the phrase in his Second Epistle to the Corinthians 12:7–9: Other biblical passages where "th ...
" (2 Cor. 12:7). *King
John of Bohemia John of Bohemia, also called the Blind or of Luxembourg (; ; ; 10 August 1296 – 26 August 1346), was the Count of Luxembourg from 1313 and King of Bohemia from 1310 and titular King of Poland. He is well known for having died while fighting ...
, who died in battle in 1346 at age 50 after being blind for a decade, lost his sight to this general condition. *
Christopher Columbus Christopher Columbus (; between 25 August and 31 October 1451 – 20 May 1506) was an Italians, Italian explorer and navigator from the Republic of Genoa who completed Voyages of Christopher Columbus, four Spanish-based voyages across the At ...
had ophthalmitis late in his life. Ophthalmitis was a common disease of sailors, possibly related to
scurvy Scurvy is a deficiency disease (state of malnutrition) resulting from a lack of vitamin C (ascorbic acid). Early symptoms of deficiency include weakness, fatigue, and sore arms and legs. Without treatment, anemia, decreased red blood cells, gum d ...
or poor nutrition. In the book ''Negro Builders and Heroes'' by Benjamin Brawley, in the chapter entitled "The Wake of the Slave-Ship", is a description of this condition affecting, on slave ships, sometimes the whole crew and captive slaves. *
Elizabeth Blackwell Elizabeth Blackwell (3 February 182131 May 1910) was an English-American physician, notable as the first woman to earn a medical degree in the United States, and the first woman on the Medical Register of the General Medical Council for the Un ...
, physician in the United States, lost an eye from purulent ophthalmia contracted from an infant with an eye infection, while working in Paris at La Maternité (1849), and after loss of the eye she could no longer be a surgeon. *The Spanish composer and guitar virtuoso
Francisco Tárrega Francisco de Asís Tárrega y Eixea (21 November 185215 December 1909) was a Spanish composer and classical guitarist of the late Romantic period. He is known for such pieces as '' Capricho Árabe'' and '' Recuerdos de la Alhambra''. Biography ...
also had ophthalmia and seriously impaired sight after a traumatic childhood event (1850s). * Hugh Fortescue, aka Lord Ebrington, (1818-1905), British Liberal MP and sanitary reformer, contracted ophthalmia in the course of a visit in 1856 to a barracks whilst researching sanitary conditions in the army. He lost sight in one eye. *
Richard Henry Dana Jr. Richard Henry Dana Jr. (August 1, 1815 – January 6, 1882) was an American lawyer and politician from Massachusetts, a descendant of a colonial family, who gained renown as the author of the classic American memoir ''Two Years Before the Mast'' a ...
, author of the American classic, ''Two Years Before the Mast'' (1840), developed "a weakness of the eyes" after contracting measles while a junior at Harvard College. In an attempt to cure his condition, he undertook a two-year sailing voyage to California from Boston via Cape Horn, which provided the experiences for his memoir. The cure worked. *
Edward Rushton Edward Rushton (1756–1814) was a British poet, writer and bookseller from Liverpool, England. He worked as a sailor aboard a slave ship as a young man, and became an abolitionist as a result. After losing his own vision, he opened a school f ...
, 18th-century blind poet and slavery abolitionist, who founded the first blind school in the UK in 1776. He is believed to have caught ophthalmia while compassionately feeding slaves who had been isolated for it. *
Wild Bill Hickok James Butler Hickok (May 27, 1837August 2, 1876), better known as "Wild Bill" Hickok, was a folk hero of the American Old West known for his life on the frontier as a soldier, reconnaissance, scout, lawman, cattle rustler, gunslinger, gambler, s ...
, 1876, Hickok was diagnosed by a doctor in Kansas City, Missouri, at just 39, as his marksmanship and health were apparently in decline.


Notes

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