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May 4, 1907


Author Affiliations

Associate in Ophthalmology and Otology in the Johns Hopkins University. BALTIMORE.

JAMA. 1907;XLVIII(18):1501-1504. doi:10.1001/jama.1907.25220440033001i

In reporting the following four cases of epilepsy in which the active causative agent appears to have been eyestrain and in which correction of the refraction errors relieved the greater affection, I am actuated by a desire to aid in promoting the educational work that other ophthalmologists have been doing in this direction, and possibly to benefit some other sufferers, rather than to enter into the dispute regarding the relationship of eyestrain to epilepsy. My own observations convince me that an epileptic seizure may be induced by reflex action from an ocular disease. There may be some physicians who do not want to be convinced of this, there are certainly some who deny the possibility of the eyes playing any important part in connection with epilepsy, and the great mass of the profession has probably never given any consideration to the matter and would have no answer prepared for the

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