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October 1940


Author Affiliations

Chief Ophthalmologist, State Hospital GYULA, HUNGARY

Arch Ophthalmol. 1940;24(4):772-783. doi:10.1001/archopht.1940.00870040158014

Regardless of how long the duration of the disease, sooner or later trachoma heals in response to suitable treatment. However, there occasionally are patients who have apparently been cured of trachoma whose eyes periodically become teary and redden in response to the slightest touch. Eversion of the lid for examination of such eyes is sufficient to excite them, but inspection by this method frequently does not yield any information as to the cause of the disturbance. The conjunctival sac is thinned and finely scarred, as it usually is after a trachomatous lesion heals. If the nasolacrimal duct is unobstructed, there is not a shadow of doubt that the trachoma has entrenched itself in one of its usual hiding places, probably in the tarsus. The lacus lacrimalis and its structures are not given the consideration they deserve as a hiding place for trachoma. Examination of every part of this area should