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July 18, 1908


Author Affiliations


JAMA. 1908;LI(3):204-212. doi:10.1001/jama.1908.25410030026001f

In dealing with the ocular complications of pregnancy, I shall try to present the bearing of recent pathologic investigations on the cause of serious eye disturbance. Medical literature shows that there is scarcely an eye disease which has not been more or less directly traced to the pregnant state. Some of these we now know are not distinctively so caused. Pregnancy, at most, increases liability by lessening resisting powers. Power1 published three interesting papers, claiming that, among other complications, pregnancy produced a definite type of superficial central ulceration of the cornea. With our present knowledge of the rôle of infection in corneal ulceration, it seems more natural to attribute to pregnancy only such influence as is seen after any other severe tax on the system.

The same is true of the supposed tendency to phlyctenular ophthalmia. Asthenopia, with its defective accommodation, short of absolute paralysis, varying muscular anomalies, occasional

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