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Article
May 1960

Results of Surgery in Patients with Tubular Fields Due to Glaucoma

Author Affiliations

New York
From the Eye Service of The Mount Sinai Hospital, New York City.

AMA Arch Ophthalmol. 1960;63(5):850-852. doi:10.1001/archopht.1960.00950020852015
Abstract

Many ophthalmologists have been brought up in the belief that an operation for the relief of intraocular tension is contraindicated in patients with chronic glaucoma of long standing with resultant tubular fields. They have been taught that very often there is a sudden diminution of vision immediately after operation with perhaps complete loss of vision. They have also been taught that if the loss of vision is not sudden, then it will be gradual, within a year, more or less. At any rate, many ophthalmologists believe that the results are better in these patients if no operation is performed and if the increased intraocular tension persists under treatment with miotics and possibly acetazolamide (Diamox). This belief has lately become so widespread that many surgeons refuse to operate and instead allow the patient to become blind slowly, but relentlessly, figuring that because of the tubular field the loss of vision would

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