This study developed from observations on a case of exaggerated pinguecula with great vascularization. Such was the aggravated condition of the multiple pingueculae, with the accompanying vascularization, that the entire visible conjunctiva of the palpebral opening on every side was highly congested and discolored so that the patient, a woman of 38 years, hesitated to appear in public. This condition was of many years' duration. When local remedies and astringents failed to eliminate the trouble, I turned to an operative procedure.
Superficial inspection designated the source of the vascular supply to the pinguecular areas as coming from the conjunctival vessels, which were much enlarged and could be seen after their branching to terminate in separate pinguecular areas. Therefore I felt that if these vessels could be obliterated at their base, the redness and vascularization, which were the most unsightly feature of the case, and also the pingueculae would
JAMESON PC. VASCULARIZATION OF THE ANTERIOR SEGMENT OF THE EYETHE BEARING OF THESE STUDIES ON SOME OPERATIVE PROCEDURES, INCLUDING A POSSIBLE SUPPLEMENTARY PROCEDURE FOR GLAUCOMA; PRELIMINARY REPORT. Arch Ophthalmol. 1933;9(4):523–530. doi:10.1001/archopht.1933.00830010541002