Essay on purulent ophthalmia written by Fletcher and consisting of an introduction with a definition & classification, and sections on symptoms, purulent ophthalmia in children and susceptibility of new-born children, purulent ophthalmia in adults, and gonorrhoeal ophthalmia all with reference to causes, diagnosis, presentation, consequences, and treatment
Changes in paper size and the numbering of 8 individual sections to demonstrate the correct order show the essay to have been written over a period of time and the sections bound together upon completion. Inscriptions in the front cover indicate that the volume was donated to the Manchester Medical Society in 1882 and was allocated the reference GO 5731 viz. their 1890 library catalogue.