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October 1962

A New Method for Re-Forming Anterior Chambers After Glaucoma Operations

Author Affiliations

Lowell, Mass.

Arch Ophthalmol. 1962;68(4):473-477. doi:10.1001/archopht.1962.00960030477008

The aim of this paper is to present a new method for re-forming anterior chambers after filtering operations for glaucoma. This is accomplished by applying pressure locally to the bleb through the closed upper lid.

The Problem  Kronfeld1 has reviewed this subject. He found chamber restoration to be delayed by 8 days or more in 20% of a series of Lagrange sclerectomies in his own hands.2 He further noted that in a series of 200 trephine operations performed at the Illinois Eye and Ear Infirmary, those eyes in which chamber formation had been delayed for 12 or more days demonstrated a significantly greater incidence of incarceration of uveal tissue into the trephine opening and of adhesions between lens and anterior angle wall.2Chandler3,5 has repeatedly emphasized the importance of restoring a flat chamber not later than the fifth postoperative day. He has called attention to the

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