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April 1951


Author Affiliations


AMA Arch Ophthalmol. 1951;45(4):416-418. doi:10.1001/archopht.1951.01700010426007

A REVIEW of the available literature reveals that in recent years few cases of postdiphtheritic cycloplegia have been reported in this country. This is no doubt due in large measure to the increasing use of diphtheria prophylaxis. During the course of World War II there was a flurry of reported cases of diphtheria in the armed forces, with varying percentages of cycloplegia.

Delp, Sutherland and Hashinger1 reported five cases of postdiphtheritic polyneuritis with albuminocytological dissociation, in four of which there was paralysis of accommodation. Copsey2 reported 17 cases of postdiphtheritic paralysis, only four of which were described in detail, and in three of these there was a complaint of blurred vision. Hertz and Thygeson,3 reporting on 403 cases of diphtheria, found neurological complications in 144. Of their 144 cases of postdiphtheritic paralysis, paralysis of accommodation developed in 64, or 44.4 per cent, (15.8 per cent of the total

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