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August 1979

Ocular Hypertensive Response to Therapy

Arch Ophthalmol. 1979;97(8):1544-1545. doi:10.1001/archopht.1979.01020020194031

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To the Editor.  —I have recently observed an ocular hypertensive response to topically administered dexamethasone that was greater in magnitude and more abrupt in onset than any previously reported in the literature. I thought I might share this with the readership of the Archives.A highly myopic 45-year-old man was first seen in December 1974 with a retinal detachment in his right eye. This detachment was successfully repaired, with restoration of normal vision. Several months after the surgery, the patient was seen again, this time for a change of glasses. Results of his entire examination at that time were normal with the exception of his considerable myopia and evidence of the successful scleral buckling procedure. Although his intraocular pressure was 20 mm Hg in both eyes, the heads of both optic nerves appeared somewhat saucerlike and raised the suspicion of possible glaucomatous excavation. In an attempt to at least define

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