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Arch Ophthalmol. 2009;127(5):692.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Czermak states that the flattening of the anterior chamber usually attributed to glaucoma really exists before the glaucoma, and predisposes to it. The flattening of the chamber he explains as being an excessive degree of the physiological flattening of old age, which is due to a diminished secretion of aqueous humor from the secretory parts, which have undergone senile degenerative changes.

In cases of acute glaucoma there is no inflammatory adhesion between the iris and the ligamentum pectinatum. This condition is brought about, according to Czermak, as follows. In consequence of an excessive dilatation of the pupil when the chamber is shallow, the periphery of the iris becomes thickened until it touches the margin of Descemet's membrane.

The aqueous humor then collecting forces the iris into the chamber angle. This dilatation of the pupil may be relieved naturally or by myotics, but if it remains it leads to a condition . . . [Full Text of this Article]

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