Lachrymal disease constitutes from 2 to 3 per cent. of all eye cases. Of 95,596 patients treated in the eye department of the Illinois Charitable Eye and Ear Infirmary between the years 1859 and 1898, 2147, or about 2.25 per cent., suffered from disturbance of the tear-conducting apparatus. Females seem more liable to be affected than do males, in the proportion of at least 2 to 1. This statement seems somewhat strange from the fact that the latter suffer much more from atmospheric exposure, undoubtedly an indirect etiological factor of considerable importance. Fuchs explains this predisposition on the part of women to the "zealous use which the female makes of the lachrymal apparatus." We find the disease occurring in all ages. C. W. Hawley1 has recently reported five cases of mucocele in the new-born, and clinical experience demonstrates that infants are frequently sufferers from lachrymal disease.
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NANCE WO. CHRONIC INFLAMMATION OF THE TEAR PASSAGES. JAMA. 1900;XXXV(17):1086–1088. doi:https://doi.org/10.1001/jama.1900.24620430022001h
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