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May 1952


Author Affiliations


AMA Arch Ophthalmol. 1952;47(5):611-615. doi:10.1001/archopht.1952.01700030629007

IN THE past few years the therapy of congenital glaucoma has undergone a radical change. This change is primarily the result of work done by Barkan1 in further development of the operation of goniotomy. Goniotomy was first described by de Vincentiis2 (1893) and Taylor3 (1891), both cited by Scheie.4 It was advocated for all types of glaucoma. The operation was not used after the turn of the century until Barkan began his work with it about 1938. All the observations and comments in this paper have to do with infantile congenital glaucoma or that form which appears within the first two or three years of life. Anyone who has treated congenital glaucoma and used one or more of the conventional antiglaucoma operations, such as trephination, iridencleisis, or cyclodialysis, knows that a good result is rare and that most eyes treated in this way go on to

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