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October 1945


Arch Ophthalmol. 1945;34(4):318. doi:10.1001/archopht.1945.00890190320008

In a previous issue of the Archives, we made a preliminary report on the case of Mrs. M. W., then aged 50, in whom the disease involved the lymphatics of the bulbar conjunctiva of both globes, as well as various somatic glandular structures.

A lump in the cheek was first noticed by the patient in 1935 and was soon followed by flat, reddish growths on the eyeballs.

They were not tender and did not respond to medical treatment. About one year after their appearance they were excised, but in six months they again appeared on both globes in the same locations. Invasion of other glands was increasing, the patient was weak and losing weight; vision was poor and painful, and she had pronounced nasal occlusion.

The patient came under the care of one of us (J. W. A.) in April 1940 and was referred to the Malignancy Committee of the

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