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February 1959

Peripheral Iridectomy with Scleral Cautery for Glaucoma

Author Affiliations

From the Departments of Ophthalmology, Hospital of the University of Pennsylvania, and The Children's Hospital of Philadelphia.

AMA Arch Ophthalmol. 1959;61(2):291-297. doi:10.1001/archopht.1959.00940090293016

This paper presents the results obtained in 70 eyes with primary glaucoma, with use of a new fistulizing operation previously described by me.1 A fistula is produced by causing the lips of a scleral incision, made as for peripheral iridectomy, to retract by application of a cautery superficially to the wound edges. A preliminary report, based on experience with 42 eyes, indicated that the procedure could be used whenever a fistulizing operation was deemed necessary. It was effective in eyes with either wide or narrow angles and seemed of particular value in neglected acute and advanced narrow-angle glaucoma because of its simplicity and safety.

The operation resembles a peripheral iridectomy as performed for narrow-angle glaucoma. Rather than the small conjunctival flap employed for peripheral iridectomy, a large flap of Tenon's capsule and conjunctiva is reflected to the limbus as for any filtering operation. An ab externo incision is made

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