Congenital Alacrima
1968; American Medical Association; Volume: 79; Issue: 1 Linguagem: Inglês
10.1001/archopht.1968.03850040047013
ISSN1538-3601
AutoresR. S. Smith, S. F. Maddox, B. E. Collins,
Tópico(s)Ophthalmology and Eye Disorders
ResumoDEFICIENT lacrimal secretion occurs much more commonly in adults than in children. Alacrima as a congenital defect is distinctly unusual. Sjögren 1 found only 14 cases in the literature up to 1952. The only case of unilateral congenital alacrima was reported in 1884 by Morton. 2 The case of unilateral lacrimal insufficiency described below is presented because of the infrequency of the condition. Report of a Case Clinical History. —A 10-year-old Negro boy was first seen in July 1965 with the complaint of pain and photophobia involving the right eye. This eye was said to have an abnormal appearance beginning a few weeks after birth. Tears had never been seen in the right eye after either psychic or painful stimuli. The left eye responded in a normal fashion. There was no family history of a similar condition. At the time of initial examination (Fig 1), the lids were normal. The
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