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December 20, 1884

EFFECTS OF MURIATE OF COCAINE ON THE ORBICULARIS PALPEBRARUM.

JAMA. 1884;III(25):682-683. doi:10.1001/jama.1884.02390740010001b

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Abstract

In the report of the following cases it will be my endeavor to simply state the facts as briefly as possible, leaving the profession to judge as to the efficacy of this alkaloid in eye surgery.

In the first case a two per cent. solution was used, but in the nine following ones it was increased to four per cent. No question could be entertained as to its purity, as it came from Merck's, and its peculiar action on the orbicularis corroborated this belief.

Case I. Machinist, æt. 34. F. B. (Emery) deeply imbedded in the right cornea, of three days' standing. The solution was dropped into the eye every three minutes for fifteen minutes when the body was dug out with a spud. He stated that the operation did not hurt much.

Case II. Very severe trichiasis, in which Arlt's operation for transplantation had been previously performed, and in

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