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April 1937


Arch Ophthalmol. 1937;17(4):698-701. doi:10.1001/archopht.1937.00850040132009

In the January 1934 issue of the Archives Dr. J. van der Hoeve.1 of the university of Leyden, published a report of a series of four cases under the title of scleromalacia perforans. During the course of this report he stated that so far he had been unable to find any published account describing a similar condition and therefore concluded that his cases were the first recorded instances of a condition which he described elsewhere as follows:

A small slightly elevated inflammatory nodule appeared under the conjunctiva at a distance of about 10 mm. from the limbus. This nodule underwent necrosis at the center, discharged a yellowish cheesy material and then disappeared, leaving the deep blue color of the uvea in evidence beneath. This process repeated itself and showed a tendency to travel around the circumference of the eye in ring fashion and exhibited no disposition to involve the

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