Sometimes the rupture is due to a penetrating ulcer, and sometimes due to an external cause, such as a blow or Bruise, which causes the rupture, and then the grape skin is shown. If what is visible from it is a small part, then it is called an ant's or ant's head, or a fly - depending on its size. If it is larger, so that it looks like a grape seed, then it is called grape seed. And the form that is even larger is called bubble-shaped. If the grape skin protrudes strongly, so that it interferes with the closure of the eyelids, it is called nail-shaped. If the protruding grape skin turns white, then healing is impossible.
Know that if the cornea is torn lengthwise, then the white color is not visible, but a gap is visible, as if the pupil is stretched in length. This can be explained even more clearly and said: sometimes the rupture extends to all parts and layers of the cornea and what protrudes consists of the substance of the grape membrane; and sometimes the rupture affects only some parts of the cornea and what protrudes consists of it. This happens when some layers of it are corroded and looks like a bubble, but differs from bubbles and blisters in that the latter are accompanied by redness of the white of the eye, lacrimation, and that bubbles and blisters can be pressed with a knitting needle. But in this case this will not happen.
There are four types of protrusion, the cause of which is a rupture of the cornea, involving all its layers, and bulging of the entire grape membrane or part of it: small - fly or ant; if it is very small, it looks like a watery blister and pustule, but differs from them because it has the color of a grape skin - black, blue and brown. If its color differs from the color of the grape skin, then the protrusion is a watery bubble. This is sometimes confirmed by judging its quality by observing the white border around its base. This is only the border of the ruptured cornea, and it turns white when a scar forms. We have already mentioned the second type and called it grape. The third type of protrusion is even larger; it prevents the eyelids from closing and is called bubble-shaped or nail-shaped. The fourth type of protrusion is to a certain extent related to the vesicular type, but it is old and fused with its protruding parts to the cornea; it is called annular and is similar to the ring of a spindle connected to yarn.
Treatment. As long as the disease is on the path of its occurrence, its treatment is the same as the treatment of ulcers and pustules. As we said, they require cleansing of the body, whatever the disease, that is, emptying through bloodletting and laxation. After emptying, bathing in fresh water in a bathhouse is prescribed, especially if there is a pungency in nature. However, the patient should not stay in the bathhouse for a long time. He should also not frequently immerse his head in the bath, be it warm or cold. There is also no need to anoint his head with oil, for some types of it direct matter into the eye due to the dissolution of the matter located in the brain, and also attract what is not in it. Some oils constrict the pores through which resorption occurs. When matter is not reabsorbed, it is directed to the surface of the brain. The food should yield good chyme and be moderate in quantity and cold and moist in quality; The rest of the patient’s regimen should be appropriate.
As long as the pustule remains, it must be brought to maturity and treated as ulcers are treated. If it ulcerates, then first apply a medicinal bandage made of binding agents along with traction agents. These include quince and lentils boiled in honey, sweet and sour pomegranate, squeezed juice of olive leaves, egg yolk, saffron or sweet and sour pomegranate boiled in a small amount of vinegar or in water in which unripe grapes were boiled. They are used to make a medicinal bandage.
If the patient can stand it, then these drugs, along with starch and auxiliary substances, are dripped into the eye. But if a breakthrough has already occurred, then breakthrough treatment is used.
As for the ant variety, it is treated with liquid astringents and lotions with vinegar and water, tart wine or rose decoction. Apply astringent ointments. Useful remedies for this include the squeezed juice of olive leaves and the squeezed juice of a shepherd's staff.
Common astringent medicines include sumbul, rose, burnt lead, kalimiyya, printed clay and white lead; for powders - powders of two parts of galls and ten parts of antimony sulphide. For ointments - ointments Hanun, Agardinun, Barutinun, Damamliyas and Arabic ointment. The more potent ointment is barditulihas. If something is dripped into the eye, a bandage should be applied and the patient should sleep on his back.
A prescription for a strong ointment for this disease: take ash from a mold into which molten copper, saffron, starch and tragacanth are added; they need to be kneaded with the white of a chicken egg laid on the same day, and sometimes Yemenite stone is added. A good ointment is Bardbiyun ointment, which is useful for all types of pustules. Here is its composition. Take washed and burnt sulfurous antimony four miskals, washed burnt lead white six miskals, Indian hudad - sixteen miskals, sumbul - eight miskals, Dubrovnik polyum - two miskals, burnt washed kalimiyya - eight miskals, yellow akakiya - twenty miskals, beaver stream - six mithqals, the same amount of sabur and twenty mithqals of gum; All this is ground, mixed with rainwater and an ointment is prepared. Know that if the ulcer begins to protrude, then you must put a bandage on the eye and make sure that the patient lies on his back.
As for the nail-like appearance, it is incurable. Some doctors cut off the protrusions belonging to the ant head species for the sake of beauty. However, it is best not to cut them off or touch them, because sometimes the matter pours out and passes into the other eye.