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Updated: May 10, 2025
In the meantime the patients who will not or cannot submit to operation must be reckoned with. Doubtless many patients with chronic glaucoma can be satisfactorily managed with myotic treatment, although personally I have always advocated operation when this could be performed, but it cannot always be performed.
In consequence of this abnormal acid content the hydration capacity of the ocular colloids is raised and glaucoma results, not because water is pushed into the ocular colloids, but because these suffer changes which make them suck in water from any available source."
This prophylactic trephining is a proposition that I put before you today for your consideration, reminding you at the same time that glaucoma is practically invariably a bi-lateral condition.
"Glaucoma!" ejaculated Winkleman. Kingozi smiled wearily. "Yes. I wondered when you would find it out." "You are all blind?" "I can distinguish light." Kingozi straightened his back, and his voice became incisive. "But I can still see through eyes that are faithful to me! Make no mistakes there." "My dear friend; have I not given my parole?" gently asked the Bavarian. "Beg your pardon. Of course."
"You are going to M'tela just the same?" she inquired anxiously. "Bless you, no. I have no desire to go blind. It's the beastliest affliction can come to an active man. And glaucoma is a tricky thing. I'd like to get to McCloud tomorrow. But still you are not going to get to M'tela before me." "No?" "I am sorry; but you will have to go with me."
The opinion, not yet conclusive, that I have thus far formed as a consequence of my experience and the information obtained from others of greater experience is as follows: First: That in those cases of chronic glaucoma in which iridectomy has been of benefit in preventing or retarding the oncoming of blindness, the result has apparently been secured by reason of the fact that filtration has been produced, and not merely because a piece of iris has been removed.
Clinical observations point the same way. A patient of mine gave up her card parties, because an exciting game generally ended in blurred vision, a rainbow around the light, and a dilated pupil, and sometimes an aching eye. Another woman watching beside her dying husband and exposed to extreme cold, had her first attack of glaucoma, so severe as to destroy the sight of one eye.
The modern operation for the relief of glaucoma, by which a filtering scar is produced which permits escape of liquid from the anterior chamber, is the one which apparently holds out the most hope of permanently relieving the condition.
I cannot but feel that this is a survival of the dread that most surgeons have felt in recommending one of the older operations for glaucoma. We have now in our hands a method so safe, so easy and so certain that I feel sure that this dread will ere long pass away, and that the diagnosis of glaucoma will then be followed by a very early operation.
Glaucoma a hardening, an enlarging of the pupil, a change in the shape and consistency of the iris yes, he had it fairly well. Treatment? Let's see an operation on the iris, delicate. That was it. Impossible, of course. But there was something else, a temporary expedient, until the surgeon could be reached an undue expansion of the pupil "Why," shouted Kingozi aloud, sitting up in bed.
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