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May 1934


Author Affiliations

From the Department of Ophthalmology, Northwestern University Medical School.

Arch Ophthalmol. 1934;11(5):751-756. doi:10.1001/archopht.1934.00830120011001

Buphthalmos, or juvenile glaucoma, in the past presented an exceedingly gloomy prognosis. A questionnaire sent by Patton,1 in 1925, to a number of active American ophthalmologists revealed that 45 per cent were advising no treatment for the condition, except enucleation when indicated for pain ; 27 per cent employed nonsurgical treatment, but reported no favorable results.

The same impression was gathered by Blake2 from a similar questionnaire. Notes on 472 cases were obtained from 178 ophthalmologists. Only 156 operations had been done, including 78 iridectomies, 50 corneoscleral trephinings, 15 anterior sclerotomies, 10 sclerectoiridectomies according to Lagrange and 3 iridotases. Blake reported no personal cases, but advised trephining during the first year of life. In answer to Patton's inquiry only 1 man, A. L. Beck, reported success with iridectomy. (Most operators who tried iridectomy were disappointed, and before the advent of the filtering operations this accounted

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