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January 1957

A New Form of Angiodiathermy in Glaucoma with Animal Experiments

Author Affiliations

Department of Ophthalmology, Tokyo Jikei-kai School of Medicine.

AMA Arch Ophthalmol. 1957;57(1):41-48. doi:10.1001/archopht.1957.00930050047011

Introduction  In ocular hypertension, the following factors may be concerned: (1) increased resistance to aqueous outflow, (2) increased aqueous formation, and (3) rise of anterior ciliary vessel blood pressure.Iridectomy, iridosclerectomy, trephination, iridencleisis, goniotomy, and goniopuncture are believed to decrease resistance to aqueous outflow.While Heine's cyclodialysis was believed by Fuchs and Axenfeld to be one of the angle-opening operations, it was shown by Goldmann and others to be an operation decreasing aqueous formation, as a procedure modifying the neurovascular system in the uvea.14,15 Therefore, since angle-opening operations are actually most useful, cyclodialysis is comparative rarely applied nowadays in glaucoma.Though the cyclodiathermy of Weve (1932), Vogt,19,20 and others is mainly an operation decreasing aqueous production, some one has said that it would be a suitable procedure when other methods of treating glaucoma have failed. After the appearance of cyclodiathermy some further modifications were reported by Wagner,21

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