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February 24, 1923

Du Glaucoma et de L'Hypotonie.

JAMA. 1923;80(8):575-576. doi:10.1001/jama.1923.02640350057039

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This aims to cover the entire subject of glaucoma, but a goodly portion of the book is devoted to considerations affecting the author's procedure of sclerectomy. This consists of the removal by scissors, or punch forceps, of a strip of sclera along the upper edge of the anterior flap of the wound one makes in the corneal section for cataract extraction. The author has modified the section by turning the knife sharply backward at the upper part of the anterior chamber to go posterior to the innermost, anterior angle of the sclera before coming on out through the limbus. The ciliary muscle is thus cut away from its attachment to the scleral spur, and this structure in turn excised, along with layers external to it, by the sclerectomy. The new path of the aqueous is then out over the ciliary muscle into the suprachoroidal space as well as through the

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