By Dr G. B. J. Keiner (auth.)
Read or Download New Viewpoints on the Origin of Squint: A Clinical and Statistical Study on its Nature, Cause and Therapy PDF
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Extra info for New Viewpoints on the Origin of Squint: A Clinical and Statistical Study on its Nature, Cause and Therapy
I I I 53 I 227 31 i 127 19 : 100 15 ! 60 6: 44 3 30 3 I 29 2 i 13 01 01 0 1 ! 91 123 54 35 19 12 96 47 28 9 8 1Familial 13 11 10 3 3 2 2 0 1 0 8 3 2 1 2 1 0 277 217 1 In the above table of cases with an age-difference of 6 months one is immediately struck by the large number of children who had developed the affection in their first Yz year of life; this number actually exceeding by 100 the number who started to squint in their second Yz year. In the subsequent 6 months the frequency of appearance drops a few per cent, after which the figure between the ages of 18 months and 2 yr.
In very young children, before secondary abnormal compensation reactions have had the chance to obscure or modify the original picture. Indispensable for a correct judgement and interpretation of the observed facts was· a preliminary study of the anatomical and physiological relationships and possibilities in the normal baby and the growing child. Innumerable lacunae in this knowledge required to be filled by original investigation. All explanations had to be consistent with the age and to be supported by a knowledge of the anatomical and physiological conditions existing at that moment.
To illustrate the degree to which squint may be at the same time hereditary and familial in occurrence I may mention 2 families. ; 6 of his 7 children have a convergent squint (4 girls and 2 boys). At the time of writing, however, none of his 6 grandchildren has yet shown a squint. In the second family the father squinted with the left eye from birth and has worn spectacles since his schooldays. S. remained. Six (girls) of his 8 children developed a convergent squint. Strange to relate, the convergent squint of one of the girls first disappeared and then, when she was 14 years old, gradually developed into a steadily increasing divergent squint, for which 52 the patient (now a nurse) will soon have to undergo an operation.
New Viewpoints on the Origin of Squint: A Clinical and Statistical Study on its Nature, Cause and Therapy by Dr G. B. J. Keiner (auth.)