Although many textbooks state that the treatment of glaucoma is surgical regardless of the stage in which it is encountered in actual practice, this is not true. I am in accord with most of my associates, who treat every patient with glaucoma medically until such time as control of intraocular pressure is no longer maintained at a limit at which visual acuity and the visual fields may be conserved.
ACUTE CONGESTIVE GLAUCOMA
It is agreed by all ophthalmologists who have extensive experience with glaucoma that the acute congestive type should be treated with tension-reducing drugs for at least twenty-four hours, combined with sedatives sufficient to reduce pain and induce sleep. If the commonly used tension-reducing drugs are not effective within twenty-four hours, a basal iridectomy should be performed. If, however, the repeated use of physostigmine salicylate, for instance, 1 drop of a 1 per cent solution every ten minutes for
LEHRFELD L. MEDICAL VERSUS SURGICAL TREATMENT OF GLAUCOMA. Arch Ophthalmol. 1948;40(3):332-340. doi:10.1001/archopht.1948.00900030338012