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April 26, 1913


JAMA. 1913;60(17):1297. doi:10.1001/jama.1913.04340170025018

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William J., aged 10, on Aug. 2, 1912, while dissecting a golf-ball, ruptured the small rubber bag in the center of the ball, and the contents spurted into his right eye. This caused immediate, excruciating pain, lacrimation, photophobia, redness and edema of conjunctiva. The surface of the cornea became opaque. The child was attended by a local physician, who irrigated the conjunctival sac and applied cold compresses. The patient was first seen by me on August 7, five days after the injury. The eye presented the picture of a typical caustic burn of the cornea and conjunctiva. The conjunctiva showed numerous areas of necrosis, some large, some small. The cornea was opaque to the extent of being almost white. The destruction had extended into the substantia propria; the pupillary border of the iris could scarcely be seen, and vision was reduced to shadows. The patient was admitted to the hospital

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