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August 1943


Arch Ophthalmol. 1943;30(2):196-206. doi:10.1001/archopht.1943.00880200044004

Tuberculosis of the visual apparatus is not frequent and is apparently to a certain degree antagonistic to pulmonary tuberculosis ; i. e., the eye is rarely affected in tuberculosis of the lungs, and vice versa.1 Primary tuberculosis of the conjunctiva, or the appearance of tuberculosis in the conjunctiva in a previously uninfected organism, is uncommon. It occurs in early life, before tuberculous allergy has developed, according to Duke-Elder.2 From the infected conjunctiva, the bacilli enter the regional lymph nodes which drain the conjunctiva, and the primary complex after Ranke of the first stage of tuberculosis1 is formed.

Koester3 was the first to report a case of tuberculosis of the human conjunctiva, in 1873, and Sattler,4 in 1874, was next, describing a tuberculous ulceration of the conjunctiva. Parinaud,5 in 1884, made a contribution concerning the diagnostic value of experimental inoculation of the infected conjunctival tissue into

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