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Article
June 1947

A NEGLECTED CAUSE OF SECONDARY GLAUCOMA IN EYES IN WHICH THE LENS IS ABSENT OR SUBLUXATED

Arch Ophthalmol. 1947;37(6):740-771. doi:10.1001/archopht.1947.00890220764004
Abstract

GLAUCOMA developing in an aphakic eye, either spontaneously or following discission of a membrane, may be due to one of many factors. Among those most frequently mentioned are delayed reformation of the anterior chamber, prolapse of the iris, incarceration of the lens capsule or iris in the wound, adhesion of hyaloid membrane to the wound and anterior synechia of an iris pillar, each resulting ultimately in extensive peripheral anterior synechias. Increased formation of aqueous from irritation of the ciliary body, such as that resulting from traction during the needling operation, has been postulated. Retained lens cortex or vitreous in the anterior chamber may mechanically block the angle and cause hypertension. The glaucoma may sometimes be secondary to iritis or uveitis.

When the lens is subluxated, it may press the iris forward on one side, so as to block the angle here. When the lens is completely dislocated posteriorly, the glaucoma

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