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January 1, 1938


JAMA. 1938;110(1):38-39. doi:10.1001/jama.1938.62790010001008

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Not only must the physician study a case that requires attention for glaucoma, to determine whether a miotic, mydriatic or operation is advisable, but he must bend every effort to discourage unnecessary use of drops, and of course any unnecessary operation.

REPORT OF CASE  Mary, aged 14 years, whom I first saw June 17, 1936, had for about eight months been having headaches two or three times a week. For about three months or more they had been rather constant. She saw rainbows about lights. An optometrist thought that she had glaucoma and referred her to an ophthalmologist, who found the tension high on a number of occasions (once as high as 60 mm.) and recommended operation. During the several weeks under his care he had discharged her once as normal but on recurrence of pain and increased tension (from 35 to 50 mm. usually) which was not amenable to

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