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October 28, 1893

OPTIC NERVE TROUBLES ACCOMPANYING OR FOLLOWING FEVERS, ESPECIALLY TYPHOID FEVER.Read in the Section on Ophthalmology, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(18):652-654. doi:10.1001/jama.1893.02420700020001i

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I must apologize in advance for the paper I here present to this section, but I do so because I want to awaken a discussion on a subject in which I am deeply interested, and may thus be a poor means of obtaining a good result, on the somewhat equivocal ground that "the end justifies the means." In my experience I have met with many cases of optic nerve atrophy that followed so closely on typhoid and other fevers, that there is every probability they were the result of the pathological conditions attending these diseases. Whether they commenced as optic neuritis, which could be ophthalmoscopically demonstrated, or whether they followed on postocular alterations in the optic nerve without ophthalmoscopic symptoms could not be determined. But in all probability there was neuritis, or compression with or without papillitis, followed by atrophy.

We all know how difficult it is to settle a

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