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July 1940


Arch Ophthalmol. 1940;24(1):62-77. doi:10.1001/archopht.1940.00870010084008

The diagnosis of chronic simple glaucoma offers no difficult problem to the well trained ophthalmologist. For the progress of the disease, changes in the visual field furnish an accurate measure. For its control, there have been developed fairly effective medical and surgical measures. However, there remains the recurring problem of deciding on the wisest and most effective way of applying these measures to the individual case. Each time a new patient suffering from this disease presents himself, all the known factors in the case must be carefully evaluated and an attempt made to choose a course of treatment which for this particular patient seems the safest and most effective plan for preventing further loss of vision.

In deciding what course to follow, a number of factors must be considered. As far as the eye itself is concerned, first to be taken into account is the stage of the disease as

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