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December 1939


Author Affiliations

From the Section of Ophthalmology, the Mayo Clinic.

Arch Ophthalmol. 1939;22(6):1083-1096. doi:10.1001/archopht.1939.00860120155012

The status of myopia in ophthalmic practice is still uncertain and debatable. No unanimity of opinion exists as to its nature and treatment. In this article I have attempted to review and coordinate the opinions of various writers on the subject and to include some ideas on the problem as seen from my own experience.

A review of the literature seems to show certain rather definite periods of contrasting trends of thought on the subject of myopia. There seems to have occurred a definite evolution from the older mechanistic theory of myopia (elongated globe) toward the more recent biologic variant point of view. It appears difficult for ophthalmologists to discard some of the mechanistic theories. The theories and teachings of the earlier writers taint the therapeutics of myopia even at the present time. Mackenzie1 (1833), Donders2 (1864), Landolt3 (1886), and Beer,4 who was the first professor

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