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Article
October 11, 1919

PERSONAL OBSERVATIONS REGARDING THE TREATMENT OF GLAUCOMA

JAMA. 1919;73(15):1121-1125. doi:10.1001/jama.1919.02610410023007
Abstract

My object here is to give my personal impressions of the various forms of treatment for glaucoma that I have employed during a period of thirty-two years in the active practice of ophthalmology, all of which time I have diligently searched for efficient means to control hypertension.

The principal determining causes of hypertension as I regard them are:

1. Obstruction to the outflow of fluids from the interior of the eye by (a) inflammatory products, as the presence of fibrin in the aqueous, blocking the spaces of Fontana, or of nondiffusible substances, such as colloids or albuminoids, which do not readily pass through the filtration spaces (anterior chamber usually deep); (b) encroachment of the iris on the spaces of Fontana following increase in the size of lens or increase in the contents of the vitreous chamber (anterior chamber shallow); (c) the incarceration of the iris or the capsule of the

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