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November 1938


Arch Ophthalmol. 1938;20(5):804-811. doi:10.1001/archopht.1938.00850230110008

It is an old saying that once in a while panophthalmitis leads to sympathetic ophthalmia, whether or not the injured globe has been eviscerated. This is the reason why in Vienna evisceration has been given up, and whenever it is necessary to incise a panophthalmic globe it is customary later to excise the stump. In textbooks it is almost classic to state that in panophthalmitis the purulent process destroys the entire uveal tract and leaves no place for the development of sympathetic ophthalmia. So convinced were the older ophthalmologists of the efficacy of purulent inflammation that, taking the hint from farriers, they introduced setons into injured eyes to produce pus as a prophylactic measure. It is common knowledge in the laboratory that in practically every phthisic globe more or less of the ciliary body and the choroid and also those extensions which the uvea sends into the emissaria of

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