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If I should sum up my opinion of massage in the reduction of intra-ocular tension, I would say that it is useful in enhancing the action of myotics, and particularly useful, as Domec, Knapp, Ohm, Weeks and many others have shown, after the filtering angle has been opened by a proper operative procedure.
I am frankly afraid of these vibrating machines, and again make a plea for the finger tip, just as I am afraid of a Von Hippel trephine, and prefer one which is rotated with the fingers. A special investigation of pressure massage according to the method of Domec has been made by Paul Knapp of Basel.
Domec uses an elliptical eye cup, the concave margins of which fit closely about the globe. The air is exhausted with each respiration of the patient and from 50 to 200 tractions are made at each sitting. Domec is of the opinion that this method succeeds in two ways, namely, in producing analgesia by traction on the ciliary nerves, and in reducing intra-ocular tension.
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