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From the Archives of the Archives
September 2000

A look at the past . . .

Arch Ophthalmol. 2000;118(9):1280. doi:10.1001/archopht.118.9.1280

The subject of diabetes following trauma has recently assumed a considerable importance in its relations to the matter of accident insurance, as well as in general interest. The following is a case in point:

P.E., æt. sixteen, a mason's apprentice, fell from a considerable height and was found unconscious and bleeding from the mouth and nose. In a week the patient recovered consciousness, to find that he could not see with the right eye. After six weeks the patient was able to leave his bed, but later, his general condition not improving sufficiently to allow him to return to work, a benefit society to which he belonged insisted on a thorough examination, and he was found to have diabetes. Examination revealed in the right eye pallor of the optic disc with narrowing of the arteries; in the left eye slight pallor of the disc. About the disc in each eye were numbers of white and grayish spots. The right pupil was dilated and irresponsive, and V = p.1. The left eye had normal vision.

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