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June 13, 1896


JAMA. 1896;XXVI(24):1169-1171. doi:10.1001/jama.1896.02430760021002h

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Diseases of the lachrymal passages are frequently brought to the attention of the general practitioner, and I am inclined to believe that our substantial knowledge of the causation, course and treatment of these diseases is not as full and practical as it should be.

The reason for this scant information can not be explained by the relative infrequency of this class of cases, but mostly from the comparatively little attention writers and teachers have heretofore given this subject. Believing this, I have thought I could best serve this society by a discussion of this very common, but too much neglected class of diseases.

The diseases which most frequently affect the lachrymal passages, are those involving the ducts leading from the eye. Near the inner canthus of each eye there may be found two small openings, one in the upper and one in the lower lid, called puncta. These are the

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