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November 14, 1896


JAMA. 1896;XXVII(20):1040-1042. doi:10.1001/jama.1896.02430980012001f

I propose to bring forward for discussion certain parts of the subject of glaucoma, which though far from novel, yet appear to merit, from their importance and the still divergent views concerning them, a constantly recurring investigation. These questions are:

  1. Is glaucoma always preceded by papillitis?

  2. Are certain doubtful cases of chronic glaucoma with an apparently normal condition of the anterior segment of the eye, unaccompanied by any sign of spinal and cerebral disease, but showing what is known as the true glaucoma cup; are these really glaucoma, or are they optic atrophy?

  3. Should all cases of primary glaucoma be operated upon?

  4. What is the cause of the cataract which occasionally appears in eyes which have just undergone operation for glaucoma?

Question 1.  —Those who hold that papillitis is a constant accompaniment of the early symptoms of glaucoma should be divided into two classes, viz., those who assert that it

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