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May 31, 1902


JAMA. 1902;XXXVIII(22):1428-1431. doi:10.1001/jama.1902.62480220014001d

On April 9, 1901, Mr. J., a retired business man of 79, while striking a blow with a hammer, felt a stinging pain in his left eye. His daughter could find nothing, but although there was no pain and perhaps only such dimness of vision as would accompany any blow, something about the appearance of the eyeball aroused her suspicions. The writer arrived at the house about one hour after the accident. The patient was calm enough and rather laughed at the need of medical attendance. There was still no pain and practically no redness of conjunctiva or sclera. On the cornea, two millimeters below the apex, in the lower outer quadrant, was a very small perforation which was no longer patent but had already begun to repair; there was practically no opaque area. The anterior chamber was restored and in it no blood could be detected nor was the