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May 1982

Descemet's Membrane Ruptures

Arch Ophthalmol. 1982;100(5):844. doi:10.1001/archopht.1982.01030030848032

To the Editor.  —Angell et al, in the December Archives (1981;99:2137-2139), described the refraction, visual acuity, and limited ocular biometry of seven patients with unilateral ruptures of Descemet's membrane. They found that the involved eye was more myopic than the normal fellow eye. They suggested there might be a human parallel to the recently reported development of axial myopia in monkeys with experimental corneal opacities.1Each of us views data from a different perspective, and working in a glaucoma clinic, it was easy to consider the possibility that some of these eyes (if not all) represent examples of arrested childhood glaucoma occurring unilaterally. As previously reported,2 the prevalence of spontaneously arrested glaucoma may be as high as 7% in children initially seen with findings compatible with glaucoma. Furthermore, trauma can cause both acute and chronic glaucoma. Robin et al2 describe eyes with histories of trauma severe enough

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