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Updated: May 10, 2025
In this paper I shall say a few words about the large number of operative procedures that, apart from trephining, or, preferably, trepanation, have been urged in the treatment of the various forms of glaucoma.
Simple glaucoma, 104 cases; improvement, O.96 per cent; condition as before, 10.5 per cent; deterioration, 52 per cent; amaurosis, 36.5 per cent.
Obstruction to the steady escape of the intra-ocular fluids at any point in this drainage system or any undue increase of the fluids themselves may produce glaucoma. Probably the most important obstruction to the exosmosis is at the angle close to Schlemm's canal."
Sclerosis of the meshwork of the iris angle is the predisposing factor because it hinders free access of aqueous into the venous sinus of Schlemm. Sclerosis alone, however, will not cause glaucoma so long as access to the iris veins can keep the intra-ocular pressure at the intra-venous level, and, too, as long as the exciting cause is absent.
This is no complete presentation of my subject, but a selection of facts bearing on the etiology, to serve as a foundation for the discussion of those practical aspects of glaucoma which are to claim your attention through the papers and remarks of subsequent speakers. Dr. Edward Jackson's Paper on Etiology and Classification of Glaucoma Discussion, Chicago.
One pound of Glauber's salts in a drench is to be preferred. Rest in a darkened stall is indicated. An eye lotion containing three grains of silver nitrate in one ounce of distilled water should be applied to the eye three times daily. A water solution of atropine or eserine should be used for the purpose of relieving the symptoms of iritis or glaucoma. A very light diet should be fed.
In his recent tonometric studies Schoenberg noted that under manipulation the glaucomatous eye softened more slowly than the normal eye; and suggests this diminished drainage as an important evidence of glaucoma. Obstructed outflow might begin in an abnormal tendency of the tissues to retain fluid, a tendency that Fischer might locate in the colloids.
Weakened eyesight and many serious so-called incurable affections of the eye, including cataract and glaucoma, have been permanently cured. Air and Light Baths Even among the adherents of Nature Cure there are those who think that air and light baths should be taken out of doors in warm weather only and in winter time only in well-heated rooms. This is a mistake.
In spite of this statement, most of us must agree with Karl Grossman's observations that certainly in acute and particularly in chronic secondary glaucoma, this is a most valuable agent, especially if it is combined with holocain, which Paul Knapp in his well-known research has proved can reduce the tension even of the normal eye.
Moreover, in chronic glaucoma the ordinary inflammatory processes are not present, indeed, primary acute glaucoma itself is not an inflammation. I have no personal experience in the use of the constant current with negative pole application to the eye in the reduction of increased intra-ocular tension, but quote for our general benefit the opinions of those who have employed it.
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