ACCIDENTAL VACCINIA OF THE EYELID WITH DISCIFORM KERATITIS

Accidental ocular vaccinia is rare. Since the days of Jenner few cases have been reported in the literature, and few physicians have had the opportunity of seeing a case. Such an accidental infection is seen first by the general practitioner, the family physician. It is proper therefore that the present case be reported. The diagnosis is problematic, but the history of vaccination of a member of the family will aid in recognition of the true nature of the condition. In reality the clinical picture is pathognomonic. REPORT OF A CASE M. R., a girl aged 14, was referred to my service at the Jewish Hospital by her family physician with the diagnosis of hordeolum. Four days before the patient had gone to a picnic in the park. Two days later the left eye became red and the lid swollen. The family physician referred her to the hospital. Examination revealed that