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October 1950


Author Affiliations

From the Department of Ophthalmology, Hospital of the University of Pennsylvania and the University of Pennsylvania School of Medicine.

AMA Arch Ophthalmol. 1950;44(4):499-513. doi:10.1001/archopht.1950.00910020509001

DURING the past two years, all patients with glaucoma at the Hospital of the University of Pennsylvania have been transferred from the general ophthalmic clinics to a special glaucoma clinic. At the time of transfer each patient's record was carefully reviewed and the type of glaucoma was determined as accurately as possible. We were impressed at finding some patients who had been treated for glaucoma for years, when, in reality, they had an ocular condition which only simulated that disease. All this group of patients had normal ocular tension but showed cupping of the nerve head and visual field defects compatible with glaucoma. The subject of pseudoglaucoma, or "glaucoma without hypertension," "low tension glaucoma," "soft glaucoma" or "relative glaucoma," has evoked lively discussion in the European literature, with two recent excellent reviews by Dalsgaard-Nielsen and Sjögren1; but because there have been relatively few reports in the American literature, it

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