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September 1947


Arch Ophthalmol. 1947;38(3):368-374. doi:10.1001/archopht.1947.00900010377009

THE IMPORTANCE of chronic simple glaucoma as a cause of ocular disability and blindness is unquestioned. It is fortunate that newer pharmacologic developments and widening surgical experience have provided therapeutic measures that in many cases prove effective in controlling the insidious progress of this disease.

However, before effective therapy can be employed, the diagnosis of chronic simple glaucoma must be made with some degree of assurance. This is so because the proper treatment of the disease involves either surgical intervention or an indefinite period of medication, or both, and lifelong ophthalmologic surveillance. Such a regime, obviously, is not one to which the patient can be subjected lightly. However, the constant threat of danger from the disease if present requires the institution of treatment at the earliest possible time, and a prolonged period of diagnostic observation without therapy cannot be condoned. It is obvious, therefore, that a quick and certain method