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October 28, 1893

POSTERIOR SCLEROTOMY AS AN IMMEDIATE PRELIMINARY TO SOME OPERATIONS FOR GLAUCOMA.Read in the Section on Ophthalmology, at the Forty-fourth Annual Meeting of the American Medical Association.

Author Affiliations


JAMA. 1893;XXI(18):634-636. doi:10.1001/jama.1893.02420700002001a

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The proposition which I wish to maintain is that when the intra-ocular tension is high, a small incision through the sclera into the anterior part of the vitreous, made immediately before the various operations for glaucoma in which the anterior chamber is opened, greatly lessens the dangers which ordinarily attend such operations. These dangers are in brief: 1, that the iris may be wounded or the incision into the anterior chamber be improperly made on account of the shallowness of the chamber; 2, rupture of the suspensory ligament with loss of vitreous or sub-laxation of the lens; 3, tardy healing of the wound; 4, failure of the anterior chamber to refill; 5, failure of the operation to immediately relieve the high tension; 6, rupture of retinal or choroidal vessels.

That a small incision into the vitreous, made two or three minutes before a glaucoma iridectomy, for instance, must greatly lessen

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