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February 16, 1924


JAMA. 1924;82(7):519-520. doi:10.1001/jama.1924.02650330011004

History.  —J. M., a man, aged 38, reported to the clinic, April 26, 1922, complaining of poor vision and inflamed eyes. He had had chronic inflammation of both lids for the last fifteen to eighteen years. The condition had improved at times only to become aggravated on slight irritation, as by wind or dust. Within the present year, the lids seemed worse and the eyes watered a great deal. For the last seventeen years the patient had noticed a swelling or lump in the right lower lid. This began as a stye, which did not come to a head, but gradually increased in size over a period of several months. Since that time it had not changed materially. It was not painful or tender but, as it had become large with a tendency to make the lid heavy, the patient requested that it be removed. The vision of the right

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