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November 4, 1893

ULCERS OF THE CORNEA.Read before the Colorado State Medical Society, June 20, 1893.

JAMA. 1893;XXI(19):691-694. doi:10.1001/jama.1893.02420710019002h

The importance of this affection, I believe, justifies a brief review of the subject:

Corneal affections constitute over one-fifth of the eye cases that come under our care.1

Of the three principal types of inflammation of the cornea, ulceration is the most common. The numerous varieties of corneal ulcers have been conveniently grouped as superficial and deep.

The superficial class includes those limited to the epithelial layer and are most frequent in young subjects. This is especially true of the phlyctenular ulcer, which occurs in the delicate and strumous.

Not infrequently is the superficial ulcer the result of traumatism, the accident occurring in persons whose blood state is poor, or the wound becoming infected, an ulcer forms. The symptoms of superficial ulcers vary from slight irritation to marked photophobia, lachrymation and pain in and around the eye. The pain is frequently paroxysmal in character. The ulcers differ in appearance, location,