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May 24, 1902


JAMA. 1902;XXXVIII(21):1351-1355. doi:10.1001/jama.1902.62480210009001b

Not long ago I was asked by a medical practitioner to see an old lady who had for some days been suffering from a bilious attack, and who, since the day before, was nearly blind. He thought, as the eye seemed to be pushed somewhat out of the socket and she was blind, that she had probably during the retching and vomiting broken blood vessels in the orbit and in the eye. I saw the patient soon after and learned that she had been vomiting almost incessantly for two days, that she had great pain in the left side of the head, in the teeth and the eye. She was greatly prostrated. On examining her eye, I found that she could scarcely see the flame of a candle held within a few feet of her eye. The eye was very sensitive to light. The eyelids were somewhat swollen. The eyeball