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THE TREATMENT OF OCULAR TUBERCULOSIS WITH TUBERCULIN

THE TREATMENT OF OCULAR TUBERCULOSIS WITH TUBERCULIN Abstract The successful use of tuberculin in the treatment for ocular tuberculosis has been challenged by a number of internists as well as by ophthalmologists. There is undoubtedly some justification for this skepticism, as it is unanimously agreed that tuberculin, if improperly given, can do far more harm to the eye than good. For a number of years I have been interested in the treatment for this disease, and the results of the treatment of a selected group of patients have been so gratifying that their publication might be instructive. During the last quarter of a century the attitude of ophthalmologists toward obscure ocular lesions has changed to a great degree. Vague terms, such as rheumatic eye disease and so-called idiopathic disease of the sclera, have been properly discarded because of the newer knowledge of disease. Verhoeff1 went so far as to say that "ordinary scleritis and References 1. Verhoeff, F. H., in discussion on Benedict, W. L.: Pelvic Organs as Foci of Infection in Inflammatory Diseases of the Eye , Tr. Am. Ophth. Soc. , 1926, vol. 26. 2. Wilmer, W. H.: Clinical Aspect of Ocular Tuberculosis , Arch. Ophth. 57:1, 1928. 3. King, C.: The Therapeutic Value of Tuberculin in Ophthalmology , Arch. Ophth. 1:713 ( (June) ) 1929.Crossref 4. Clapp, C. A.: Tuberculosis of the Eye and Its Treatment , Am. Rev. Tuberc. 7:81, 1923. 5. Von Graefe, A.: Präparat von Choroiditis tuberculosa bei einem Schweine , Arch. f. Ophth. 2:213, 1855. 6. Von Hippel, H.: Ergebnisse der Tuberculinbehandlung bei der Tuberculose des Auges , Arch. f. Ophth. 87:193, 1914. 7. Bernheimer, S.: Tuberculinbehandlung Augenkranker , Klin. Monatsbl. f. Augenh. 16:579, 1913. 8. Meller, J.: Ueber die Behandlung von Augenkrankheiten mit Tuberkulin , Wien. klin. Wchnschr. 35:193, 1922. 9. Novak, E.: Die specifische Behandlung der Augentuberkulose durch den praktischen Artzt , Wien. klin. Wchnschr. 35:764, 1922. 10. Woods, A. C., and Rones, B.: The Therapeutic Use of Tuberculin in Ocular Tuberculosis , South. M. J. 21:613 ( (Aug.) ) 1928.Crossref 11. Gilbert, W.: Erkrankung des Uvealtraktus , Handbuch der gesamten Augenheilkunde , ed. 2, Axenfeld and Elschnig, vol. 5, p. 6. 12. Hess, in Lowenstein : Die Tuberculose des Auges , Berlin, Urban & Schwarzenberg, 1924. 13. Derby, J. S., and Carvill, M.: Anterior Ocular Tuberculosis , Proc. Am. Ophth. Soc. , 1927. 14. Willis, H. S.: Laboratory Diagnosis and Experimental Methods in Tuberculosis, Springfield, Ill., Charles C. Thomas. 15. Hamman and Wolman : Tuberculosis in Diagnosis and Treatment , New York, D. Appleton & Company, 1912. 16. Rich, A. R., and McCordock, N. A.: An Inquiry Concerning the Rôle of Allergy, Immunity and Other Factors of Importance in the Pathogensis of Human Tuberculosis , Bull. Johns Hopkins Hosp. 44:273, 1929. 17. Török, E.: Tuberculin in the Diagnosis and Treatment of Eye Diseases , Arch. Ophth. 48:242, 1919. 18. Denys: Le boüillon filtré , Paris, 1925. 19. Personal communication to the author. 20. In these protocols all vision tests are corrected tests. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

THE TREATMENT OF OCULAR TUBERCULOSIS WITH TUBERCULIN

Archives of Ophthalmology , Volume 3 (3) – Mar 1, 1930

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Publisher
American Medical Association
Copyright
Copyright © 1930 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1930.00810050011001
Publisher site
See Article on Publisher Site

Abstract

Abstract The successful use of tuberculin in the treatment for ocular tuberculosis has been challenged by a number of internists as well as by ophthalmologists. There is undoubtedly some justification for this skepticism, as it is unanimously agreed that tuberculin, if improperly given, can do far more harm to the eye than good. For a number of years I have been interested in the treatment for this disease, and the results of the treatment of a selected group of patients have been so gratifying that their publication might be instructive. During the last quarter of a century the attitude of ophthalmologists toward obscure ocular lesions has changed to a great degree. Vague terms, such as rheumatic eye disease and so-called idiopathic disease of the sclera, have been properly discarded because of the newer knowledge of disease. Verhoeff1 went so far as to say that "ordinary scleritis and References 1. Verhoeff, F. H., in discussion on Benedict, W. L.: Pelvic Organs as Foci of Infection in Inflammatory Diseases of the Eye , Tr. Am. Ophth. Soc. , 1926, vol. 26. 2. Wilmer, W. H.: Clinical Aspect of Ocular Tuberculosis , Arch. Ophth. 57:1, 1928. 3. King, C.: The Therapeutic Value of Tuberculin in Ophthalmology , Arch. Ophth. 1:713 ( (June) ) 1929.Crossref 4. Clapp, C. A.: Tuberculosis of the Eye and Its Treatment , Am. Rev. Tuberc. 7:81, 1923. 5. Von Graefe, A.: Präparat von Choroiditis tuberculosa bei einem Schweine , Arch. f. Ophth. 2:213, 1855. 6. Von Hippel, H.: Ergebnisse der Tuberculinbehandlung bei der Tuberculose des Auges , Arch. f. Ophth. 87:193, 1914. 7. Bernheimer, S.: Tuberculinbehandlung Augenkranker , Klin. Monatsbl. f. Augenh. 16:579, 1913. 8. Meller, J.: Ueber die Behandlung von Augenkrankheiten mit Tuberkulin , Wien. klin. Wchnschr. 35:193, 1922. 9. Novak, E.: Die specifische Behandlung der Augentuberkulose durch den praktischen Artzt , Wien. klin. Wchnschr. 35:764, 1922. 10. Woods, A. C., and Rones, B.: The Therapeutic Use of Tuberculin in Ocular Tuberculosis , South. M. J. 21:613 ( (Aug.) ) 1928.Crossref 11. Gilbert, W.: Erkrankung des Uvealtraktus , Handbuch der gesamten Augenheilkunde , ed. 2, Axenfeld and Elschnig, vol. 5, p. 6. 12. Hess, in Lowenstein : Die Tuberculose des Auges , Berlin, Urban & Schwarzenberg, 1924. 13. Derby, J. S., and Carvill, M.: Anterior Ocular Tuberculosis , Proc. Am. Ophth. Soc. , 1927. 14. Willis, H. S.: Laboratory Diagnosis and Experimental Methods in Tuberculosis, Springfield, Ill., Charles C. Thomas. 15. Hamman and Wolman : Tuberculosis in Diagnosis and Treatment , New York, D. Appleton & Company, 1912. 16. Rich, A. R., and McCordock, N. A.: An Inquiry Concerning the Rôle of Allergy, Immunity and Other Factors of Importance in the Pathogensis of Human Tuberculosis , Bull. Johns Hopkins Hosp. 44:273, 1929. 17. Török, E.: Tuberculin in the Diagnosis and Treatment of Eye Diseases , Arch. Ophth. 48:242, 1919. 18. Denys: Le boüillon filtré , Paris, 1925. 19. Personal communication to the author. 20. In these protocols all vision tests are corrected tests.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1930

References

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