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August 10, 1912


Author Affiliations

Philadelphia; Philadelphia

JAMA. 1912;LIX(6):442-443. doi:10.1001/jama.1912.04270080124018

The case reported below is considered of interest for the following reasons:

1. Because of the unsuspected serious nature of the condition present, the symptoms being those of iritis, with diminished intra-ocular tension, whereas one would expect those of glaucoma, with increased intra-ocular tension.

2. Because it emphasizes the necessity of enucleating blind eyes which are giving pain, as these may contain life-destroying potentialities.

3. Because it demonstrates theimportance of a pathologic examination of all eyes removed.

History.  —The patient, D. McA., aged 31, was a core-maker, native of Philadelphia. His father died as result of accident, aged 55; health always good; he used glasses for near work only; eyes were healthy. Mother, aged 55, living and well; uses glasses for near work only. Four brothers and two sisters are living and in good health. Only one brother wears glasses. No family history of ocular disease is obtainable. Patient had