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October 28, 1893

THE TREATMENT OF NASAL DUCT OBSTRUCTION.Read in the Section on Ophthalmology, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(18):637-639. doi:10.1001/jama.1893.02420700005001c

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I find that some writers treat the whole subject of nasal duct obstruction in a sort of light and airy fashion, as if they were dealing with tarsal cysts or the removal of a foreign body from the conjunctival sac. Others run along in a most gloomy vein, entirely discouraging to the seeker after surgical consolation in the hour of doubt.

These facts have impelled me to bring before you some conclusions I have arrived at, regarding the treatment of this condition, both to introduce the subject and in the hope of hearing your criticisms.

First of all, how shall we distinguish between true organic stricture of the duct, and obstructions due to swelling of the mucous membrane? I have come to regard the answer to that question as a necessary preliminary to treatment and I have mostly applied this test: when the sac is enlarged and pus can be

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