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December 1956

Tonography in the Clinical Management of Glaucoma

Author Affiliations

From the Hospital of the University of Pennsylvania, Department of Ophthalmology, and the Children's Hospital of Philadelphia.

AMA Arch Ophthalmol. 1956;56(6):797-818. doi:10.1001/archopht.1956.00930040805001

I. Introduction  This paper presents conclusions based on 600 tonographic studies on 239 eyes with various types of glaucoma, with use of the method described by Grant.1 We have repeated much of Grant's work * in glaucomatous eyes and have confirmed his data. In addition, we have directed particular effort toward determining the usefulness of tonography in the clinical management of glaucoma. The reliability of tonography was compared with the water provocative test in the diagnosis of chronic simple glaucoma. Tonographic values, before and during water provocative tests, were analyzed for any evidence that they might contribute toward explaining the mechanism of the rise in tension. The effects of miotics on tonographic values were observed for possible explanations of the mechanism of action of miotic agents in the treatment of glaucoma. An attempt was made to assess the value of tonography in the choice between medical and surgical treatment. Tonographic