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Article
December 14, 1918

POSTCILIARY SCLERAL TREPHINING FOR ACUTE GLAUCOMA

JAMA. 1918;71(24):1967-1970. doi:10.1001/jama.1918.02600500017004
Abstract

As the several procedures in the case reported below have resulted in a blind eye, the material is offered only as a study in the intricate problem of glaucoma.

REPORT OF CASE  A healthy unmarried woman, aged 57, during the course of a stye two weeks before I saw her, noticed that her right pupil was large and that the vision was not so good as formerly. Since then she had been using physostigmin (eserin), prescribed by a physician, without relief.July 18, 1917, in the left eye the tension as determined by the Schiötz tonometer was 20, and the vision 20/20 with correction 1.75 spheric. There was a large, old retinochoroidal atrophic spot in the lower nasal portion of the fundus. The field was normal. In the right eye the tension with the Schiötz tonometer was 57, and the vision 8/150. The cornea was steamy over the central portion.

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