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December 1937


Arch Ophthalmol. 1937;18(6):1024-1025. doi:10.1001/archopht.1937.00850120158017

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To the Editor:—In the September issue of the Archives, Drs. J. A. MacMillan and W. Cone (Prevention and Treatment of Keratitis Neuroparalytica by Closure of the Lacrimal Canaliculi: Report of a Case, Arch. Ophth. 18: 352 [Sept.] 1937) reported a case in which neuroparalytic keratitis following section of the posterior root of the fifth nerve for neuralgia was relieved by cauterization of the lacrimal puncta. Commenting on this result, they stated, "It is comparable to the results described by Beetham after he had closed the ducts in patients with filamentary keratitis." It seems to me that this statement gives too little credit to Beetham, who was the first to employ this procedure to relieve dryness of the eye due to insufficiency of lacrimal secretion. The writers did not state whether or not it was Beetham's communication that led them to employ the procedure in their case.

The writers

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