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However perfect the eyes may be in other respects, comfortable vision cannot be enjoyed if the tears are retained in the conjunctival sac. The frequency of annoyance from lachrymal retention I believe is underestimated. We are too prone to think only of the large group of patients who suffer from epiphora consequent upon a more or less complete obstruction of the drainage system throughout its course or at some point in the canaliculi, sac, or nasal duct; or of the more pronounced cases of acute or chronic blenorrhœ. There is, however, a very large number of people who suffer more or less constant annoyance from a partial retention of the tears which rarely or never amounts to stillicidium, but which nevertheless keeps up a conjunctival hypersemia from the constant soaking in tears. The retention may be so slight, or may have come on so gradually, as not to have fixed
RISLEY SD. THE CONSERVATIVE TREATMENT OF LACHRYMAL OBSTRUCTION. Read before the Section of Ophthalmology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, June, 1892. JAMA. 1892;XIX(12):327–331. doi:10.1001/jama.1892.02420120001001
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