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October 28, 1893

A CASE OF PERSISTENT SPASM OF THE ACCOMMODATION, RELIEVED TEMPORARILY BY TENOTOMY OF THE EXTERNAL RECTI.Read in the Section on Ophthalmology, at the Forty-fourth Annual Meeting of the American Medical Association.

Author Affiliations


JAMA. 1893;XXI(18):640-641. doi:10.1001/jama.1893.02420700008001e

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Miss P., aged 39, at the age of 33 began to suffer from headache, pain in eyes when reading. In a few months was obliged to give up reading and using the eyes altogether. Was treated by various physicians for nervous prostration, neuralgia, etc. Finally advised to seek a change of climate. A residence of several years in the West proving of no benefit she returned East for treatment.

In May, 1892, she came under my care. Family history good and her own health had always been good until the present trouble. She is fairly well nourished, appetite good, bowels regular, sleeps well and no menstrual trouble or other difficulty. Says she would be well if she could get relief from constant headache and pain in eyes when using them. Headaches mostly occipital but much pain referred to temples and vertex.

Upon examination, I found vision right eye 20-20, not

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