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Article
July 17, 1909

NEUROPATHIC KERATITIS AND SOME ALLIED CONDITIONS, WITH SPECIAL REFERENCE TO TREATMENT

Author Affiliations

Pathologist and Assistant Ophthalmic Surgeon, Massachusetts Charitable Eye and Ear Infirmary; Instructor in Ophthalmic Pathology, Harvard University BOSTON

JAMA. 1909;LIII(3):191-198. doi:10.1001/jama.1909.92550030007002f
Abstract

During the past four years I have given special attention to all cases of eye inflammation that I have had reason to believe were of neuropathic origin. As a result of my observations I have become convinced that lesions of the eye, due to disturbance of innervation, are too often incorrectly diagnosed and treated. Moreover, I feel sure that many cases of keratitis reported in the literature as unusual are really examples of neuropathic keratitis which do not happen to correspond with textbook descriptions. No doubt in some instances the real nature of a case of neuropathic keratitis is overlooked in the attempt to assign to it a bacterial origin.

The only neuropathic conditions of the eyeball due to disturbance of sensory nerves about which anything definite seems to be known are confined to the cornea, iris and conjunctiva. Of these only neuropathic keratitis is at all

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