A study of the etiology of chronic inflammatory conditions of the eye is instructive to both the internist and the ophthalmologist. We are beginning to believe that these conditions are not primary, but secondary to diseased foci in other parts of the body. It becomes the problem of the internist to search out these primary foci. The ophthalmologist has recognized tuberculous ophthalmia for some time, but has been content with such a diagnosis and treatment directed locally, or tuberculin given hypodermically. Those who considered it a secondary condition considered the lungs as a primary source and sought no further. The case I am reporting deals with such a condition. The primary focus was suggested by the history, but determined by a pathologic examination of diseased tissue removed.
REPORT OF CASE
—Miss B., aged 21, referred by Dr. A. E. Prince of Springfield, Ill., for examination and treatment, a diagnosis