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GORDON M. BRUCE, M.D.

Arch Ophthal. 1941;26(6):945-964.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The fact that deficient lacrimation may produce disturbances of the cornea and the conjunctiva has long been known (Wagenmann,¹ 1893). Comparatively recently (Fuchs,² 1919) it began to be suspected that the decrease in function of the lacrimal gland might be a manifestation of a systemic disturbance. In 1933 Sjögren's classic monograph^3a appeared, and his name is given to the syndrome of keratoconjunctivitis sicca, laryngopharyngitis sicca and enlargement of the parotid gland.

ETIOLOGY

Sometimes the cause of the diminution in lacrimal secretion is obvious. Congenital absence of the lacrimal gland has been reported by Duke-Elder⁴ and others. Lisch⁵ reported deficient lacrimation in three generations of one family: Of 13 members examined, only 2 were free of the disease. Surgical removal of the gland has been found responsible for this condition by Wagenmann,¹ Avionis,⁶ P. Knapp⁷ and Engelking.⁸ In a case reported . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Institute of Ophthalmology of the Presbyterian Hospital and the Department of Ophthalmology of Columbia University College of Physicians and Surgeons.

Footnotes
The loss of the original manuscript has caused some delay in the publication of this article.

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