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Article
September 14, 1912

CLOSED EMPYEMA OF THE ETHMOID AND FRONTAL SINUSES PRODUCING MARKED EXOPHTHALMOS

Author Affiliations

Boise, Idaho

JAMA. 1912;LIX(11):878. doi:10.1001/jama.1912.04270090122020

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Abstract

The infrequency with which the ethmoid and frontal sinuses take part in producing displacement of the eyeball prompts me to report the following case which illustrates the extent to which this can occur without serious injury to the eye structures:

History.  —The patient, Mr. J. P., aged 34, consulted me March 1, 1912, for an enlargement and displacement of the left eye, giving the history of having been taken ill with severe pain in this eye after a cold of two or three days' duration. This pain lasted three days. Since then the eye had been comfortable except for the gradual development of the swelling with its accompanying symptoms of congestion and conjunctival irritation, which has been going on for seven weeks altogether.

Examination.  —The eye protruded three-quarters of an inch forward, 1 inch to the side and about three-quarters of an inch downward. The conjunctiva was greatly injected, almost

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