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July 1938


Author Affiliations

From the Department of Ophthalmology, University of Nebraska College of Medicine.

Arch Ophthalmol. 1938;20(1):85-87. doi:10.1001/archopht.1938.00850190097009

It has been recognized for many years that certain specific ocular lesions may occur at some stage during the course of leukemia of both the lymphocytic and the myelogenous form. These changes have been observed more commonly in the retina, but their presence has also been noted in the conjunctiva, choroid, orbital tissue and lacrimal glands. It is of particular interest to note, in contrast, the infrequency with which leukemia has involved the lacrimal sac and in so doing has given rise to signs and symptoms of chronic dacryocystitis. A search of the literature revealed only 1 such case, reported by Creutz.1 Bilateral lymphoma of the lacrimal sac was reported by Sulzer and Duclos,2 Pascheff3 and Weve,4 but there were no associated changes in the blood characteristic of the leukemias in these cases.

When one considers the remarkable change which the blood undergoes in leukemic

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