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January 8, 1898


Author Affiliations

Professor of Ophthalmology, Otology and Medical Jurisprudence, in the Hospital College of Medicine, Medical Department of the Central University of Kentucky; Surgeon to the Eye and Ear Department of the Louisville City Hospital, and the Gray Street Infirmary, etc. LOUISVILLE, KY.

JAMA. 1898;XXX(2):81-83. doi:10.1001/jama.1898.72440540029002k

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The term glaucoma, which formerly meant sea-green pupillary reflex; with more or less complete blindness, described by Walther as a condition in which the patient sees nothing and the surgeon likewise nothing, has come to mean so much that it now really means nothing definite. The nearest approach I could come to a location of the structural lesions which give rise to the symptoms of glaucoma would be the ciliary region of the eye. As a matter of fact, disturbances in the nutrition of the ciliary muscle, with or without corresponding disturbances in the ciliary body, presenting all the varying characteristics from a reflex hyperemia to a fulminating parenchymatous inflammation, give rise to some degree of ocular tension, accompanied by undue fulness of the retinal veins and some degree of depression of the surface of the optic disc. Perimetric registration may be required to complete the diagnosis in some mild

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