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August 11, 1934


JAMA. 1934;103(6):430-431. doi:10.1001/jama.1934.02750320048025

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To the Editor:—  Permit me to add one or two random, but I think practical hints to the excellent article on the therapy of conjunctivitis by Dr. Sanford R. Gifford in The Journal, July 7. In the treatment of gonorrheal ophthalmia, of infants and adults, as well, the chlorine compounds are very valuable, either as "drops" or diluted, as irrigation fluid. My teacher the late Dr. Emil Gruening used the official, Aqua Chlorinii (recenter preparata) diluted to one-tenth strength. Today there are the various calcium and soda chlorine preparations, chloramine, surgical solution of chlorinated soda, and so on, which seem to have an almost specific action against the gonococcus. Pressure on the cornea with resultant necrosis is often due, at least in part, to hot and tensely swollen lids with retention of pus secretion. A liberal tarsotomy may work wonders. Free blood-letting does no harm, and what might have seemed

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