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September 17, 1898


JAMA. 1898;XXXI(12):632-634. doi:10.1001/jama.1898.92450120006002a

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On Oct. 12, 1897, I was consulted by a gentleman 50 years of age, whose chief complaint was of subconjunctival hemorrhages, which had occurred on an average every two weeks during the past year. I found that he had consulted a great many oculists during this time who had either given general treatment for gout (of which there was some slight evidence) or had sent him to the general practitioner, or had only prescribed reading-glasses, etc. The hemorrhages seemed to come on spontaneously and were bothersome chiefly because they gave the man such a frightful appearance, and caused mental worry, rather than any decided pain or trouble of vision. One eye was generally affected at a time, and as the hemorrhage only stopped when the subconjunctival space was thoroughly filled with blood, the appearance of the eye and patient is easily imagined. I frankly asked the gentleman what he supposed

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