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July 1949

INTRAORBITAL ANEURYSMA Case of Aneurysm of the Lacrimal Artery

Arch Ophthalmol. 1949;42(1):1-13. doi:10.1001/archopht.1949.00900050004001

SURVEY OF LITERATURE  ANEURYSM that it is commonly referred to in any discussion of the differential diagnosis of exophthalmos and that a number of cases, so diagnosed, have been reported in the literature. In a survey of the literature we have found reports of 68 cases in which a diagnosis of intraorbital aneurysm was made. Very few of these reports contain information concerning any pathologic investigation, and in even fewer do the recorded facts indicate that a true intraorbital aneurysm was present. In the great majority of instances the diagnosis rested on clinical observations alone.In the early ophthalmologic literature it is evident that the diagnosis of intraorbital aneurysm was usually based (of course, erroneously) on the finding of a pulsating exophthalmos. In 1823 Guthrie1 made the first diagnosis of orbital aneurysm, basing his diagnosis on autopsy observations. His was the third recorded case of pulsating exophthalmos, being preceded

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