This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Dr. Atchoo's letter was referred to Dr. W. Morton Grant, who offers the following reply:
To the Editor:
Dr. Atchoo's observation of angle-closure glaucoma occurring after injection of retrobulbar anesthetic in preparation for cataract extraction is interesting and unusual.My reaction and that of Dr. Paul Chandler, with whom I have discussed the question about routine gonioscopy or tension checking, is that in the preoperative work-up of patients one should be alerted to the presence of shallow anterior chamber by the routine slit-lamp examination. In such cases gonioscopy should certainly be done. (In the Massachusetts Eye and Ear Infirmary it is.)Even in the presence of a narrow angle it is very rare in our experience to have closure and significant elevation of pressure during the approximately ten-minute interval from injection to opening of the eye. We believe we can tell satisfactorily that an eye is soft by the way
Grant WM. ANGLE-CLOSURE AFTER RETROBULBAR INJECTION-Reply. Arch Ophthalmol. 1964;71(2):293. doi:10.1001/archopht.1964.00970010308036
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: