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June 1930


Author Affiliations


Arch Ophthalmol. 1930;3(6):762-783. doi:10.1001/archopht.1930.00810080110011

The field of the disease indicated in the title is limited today to acute or chronic inflammations of the palpebral or ciliary margin. The anatomy of this region is of great importance in the analysis of clinical symptoms and in differential diagnosis. The use of the magnifying glass, or better, the binocular (corneal) microscope is most instructive and of great value. There is a certain variety in the dimensions of the normal palpebral margin. Thin lids with few lashes, or, on the other hand, thick lids, indicate a tendency to blepharitis. The normal palpebral margin shows two zones separated by a fine linear trace of slightly deeper grayish tone. Terson calls this the intermarginal linear zone. In predisposed and actually diseased subjects, this zone tends to disappear. The anterior (cutaneous) zone is congested and under the loupe shows fine vascularization. The posterior (tarsal) is redder and vascular, and presents irregularities

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