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December 1939


Author Affiliations


Arch Ophthalmol. 1939;22(6):1035-1045. doi:10.1001/archopht.1939.00860120107007

The fact that so many operations have been described for the relief of ocular hypertension indicates that none are entirely satisfactory. The procedure we have used for several years is not original, but as it is not widely used we feel that our experience with it is worth recording. After several unsatisfactory experiences with other kinds of filtering operations, some ten years ago one of us adopted iridotasis for certain types of glaucoma. This was satisfactory so far as the relief of hypertension was concerned, but the updrawn pupil caused a rather unsightly eye. For a number of years then we used iridencleisis through the usual keratome incision. Occasionally when the anterior chamber was shallow we scratched the anterior lens capsule with the lance point. While this does not necessarily produce a cataract, it may do so, and it often produces monocular diplopia. This accident happens occasionally in the hands

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