ECZEMA SIMPLEX DEPEND- 
ENT UPON AMETROPIA. 
BY 
S. O. RICHEY, M. D., 
WASHINGTON, D. C. 
From The Chicago Medical Journal and Examiner. ECZEMA SIMPLEX DEPENDENT 
UPON AMETROPIA. 
BY S. O. RICHEY, M. D., 
Washington, D. C. 
In the Archives of Ophthalmology, Vol- 
ume XIII, No. i, 1884, may be found the 
report of a case of eczema of the'malar 
prominences, whose exciting cause was an 
anisometropia, the eyes being hypermetro- 
pic to a different degree. 
I have now to supplement that with a 
similar case, referred to me, from the same 
family, by my friend, Dr. C. E. Hagner. 
October 8, 1886, Miss S. T., a cousin- 
german of C. K., consulted me, complain- 
ing of temporal pain, and pain at the 
nucha, almost continuous. Corrugated 
supercilia indicated the demand upon the 
circumorbital muscles for aid in ciliary 
adjustment. Frequently, the protracted 
use of the eyes upon objects at close range 
was followed by an eczematous eruption 
over the malar prominences. V. R. = Xi_: 
V. L. = xxx- Reads Sn. 1, at 12 inches. 
Insufficiency of the external recti at 18 
feet =2°. Eyes normal in other respects. 
Mydriasis reduced the vision of each eye 
to ccj which was restored to x2” by a +2. Ds 
each. 
The lenses were worn constantly for 
some months, and then were laid aside for 
distance, though she still resorts to them 
for near vision. I have often seen the 
patient since to learn that the relief from 
the pain and eruption has been permanent. 
These two cases only have occurred in 
my professional experience, and I can find 
no mention of any other. They are inter- 
esting for the aid they may afford in the 
study of the pathology of eczema.