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July 1968

Glaucoma Simplex: A Long-Term Clinical Study.

Arch Ophthalmol. 1968;80(1):152. doi:10.1001/archopht.1968.00980050154032

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This small book is actually a thesis and as such represents some clinical research conducted by the author. He observed 26 patients with chronic simple glaucoma over a long period of time and discusses the glaucoma problem mainly as he observed it in these patients. Although his findings and conclusions do not offer anything new, nevertheless, this book does have a useful purpose. The real meat of this thesis is not so much the clinical history of these 26 patients but the general discussion that follows. In this discussion the author combines skillfully the views of the so-called mechanistic school with the teachings of the neuro-vascular theory as expressed by Duke-Elder. By combining the "best of both worlds" the author presents a logical and convincing viewpoint concerning the mechanism of action and natural history of chronic simple glaucoma.

Some of the conclusions of this thesis are startling, eg, the statement

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