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October 1962

Angiodiathermy and Temporary Tenotomy of the Horizontal Rectus Muscles in Glaucoma

Author Affiliations

New York
Department of Ophthalmology, Harlem Eye and Ear Hospital, New York.

Arch Ophthalmol. 1962;68(4):521-526. doi:10.1001/archopht.1962.00960030525017

Introduction  One of the most perplexing and controversial problems to the ophthalmologist is the treatment of a glaucoma patient with constricted fields and elevated intraocular tension. Particularly in Negro patients, it is difficult to decide whether filtering operations are indicated or contraindicated. It has been our experience that these patients do not usually respond to filtering operations. Patients are not always reliable in keeping and returning for follow-up appointments. This further complicates the problem of treating these patients. We have tried cyclodiathermy on these patients, but our results have only been temporary and unfavorable. Some authors1,2 recommend the continuation of medical therapy in spite of an uncontrolled intraocular tension. In our experience this seems to be the best method of treatment, except for the fact that patients often continue to lose vision under this therapy. In our effort to try to find some solution to this problem, we have

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