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September 1952

Le traitement du glaucoma infantile.

AMA Arch Ophthalmol. 1952;48(3):392. doi:10.1001/archopht.1952.00920010400019

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This monograph presents a rather exhaustive review of the treatment of congenital glaucoma. Medical therapy was of little value, and in nearly all cases surgical intervention was eventually required.

Paracentesis, posterior sclerectomy, anterior sclerectomy, extraction of the crystalline lens, and iridectomy are discussed, but are dismissed from consideration as being of only transient effectiveness or so fraught with complications as to be impractical. The author is particularly fond of cyclodiathermy as done by the Vogt method. He reports 26 cases, with 23 successful results, but no patient had been observed over one year. He had no case in which disorganization of the angle or opacity of the cornea occurred. Nor did he encounter hemorrhage of the iris, lens opacities, or retinal hemorrhage. The method of Weekers, in his opinion, is too new for evaluation.

In attempting to construct a therapeutic program for cases of congenital glaucoma, the author divides the

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