Discussion of the nature of trachoma with its relation to follicular conjunctivitis or gonorrheal ophthalmia does not lie within the limits of these remarks. Where great authorities differ so widely as to etiology facts yet unknown must be discovered before a consonance of opinion prevails. Trachoma, chiefly in its clinical aspect, occupies the substance of my paper.
Consideration of the disease is based on the following hypotheses:
Trachoma is a distinct disease, characterized by a granular and hypertrophic condition of the palpebral conjunctiva and its transition folds, usually with signs of ulceration.
It tends to progress in a fixed manner, varying only in degree.
Certain complications and sequelæ mark its course and termination.
Trachoma is contagious. It is a separate and distinct disease from follicular conjunctivitis.
It is capable of being beneficially modified, even cured, by appropriate early treatment.
After seeing the clinical aspect of
WRIGHT RA. SUBTROPICAL TRACHOMAWITH SPECIAL RELATION TO A NEW REMEDY IN ITS TREATMENT.. JAMA. 1903;XLI(6):361–364. doi:10.1001/jama.1903.04480030013004