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October 21, 1893

A CASE OF SYMPATHETIC NEURITIS AFTER EVISCERATION OF THE EYEBALL.Read before the Section on Ophthalmology at the Forty-fourth Annual Meeting of the American Medical Association.

Author Affiliations


JAMA. 1893;XXI(17):596-598. doi:10.1001/jama.1893.02420690004001a

Evisceration of the eyeball was introduced by Prof. Graefe in Germany and Dr. Mules in England ten years ago as a substitute for enucleation, for the reason that it was a less dangerous operation and furnished better conditions for the artificial eye. The first report on a larger number of eviscerations performed by Graefe seemed to sustain the favorable opinion of the originators; for among 240 eviscerations there was neither a death nor an instance of sympathetic inflammation after the operation.

But soon matters began to take a different aspect. Prof. Schuleck of Budapest, for instance, lost two patients among thirty-six eviscerations in the first week after the operation; and Dr. Cross reported two cases of sympathetic ophthalmitis occurring after evisceration. But as Dr. Cross had inserted a socalled artificial vitreous, it was maintained the sympathetic inflammation in these cases could not be charged to the operation, but was induced