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December 1955

Lens Extraction in the Treatment of Glaucoma

Author Affiliations

San Francisco
From the Division of Ophthalmology, Department of Surgery, Stanford University School of Medicine.

AMA Arch Ophthalmol. 1955;54(6):816-830. doi:10.1001/archopht.1955.00930020822002

The purpose of this paper is to review briefly the indications for lens extraction in glaucoma and to suggest another possible indication. It has been suggested that lens extraction is indicated in the following types of glaucoma:

  1. Glaucoma due to swelling or intumescence of the lens

  2. Glaucoma secondary to lens-induced uveitis

  3. Glaucoma due to subluxation or dislocation of the lens

  4. Glaucoma associated with exfoliation of the lens capsule

  5. Malignant glaucoma

In a review of cases of lens extraction for glaucoma on the Stanford University Hospital Eye Clinic service and in the private practice of one of us (A. E. M.), another indication is suggested. This indication includes cases of chronic iris-block glaucoma in an acute attack lasting 36 hours or more, with a very shallow anterior chamber and failure to respond to intensive miotic therapy. This indication will be discussed in more detail after a

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