This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (7)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

ROBERT N. SHAFFER, M.D.

AMA Arch Ophthalmol. 1958;59(4):532-535.

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

It is now generally accepted that iridectomy is the most logical, the most effective, and the safest operation for the control of angle-closure glaucoma. Unfortunately, it is ineffective if the anterior chamber angles are occluded by permanent peripheral anterior synechias. The purpose of this paper is to present a technique for determining the presence or absence of synechias at the time of surgery.

When tension can be restored to normal by medical means within 12 hours in angleclosure glaucoma, conventional presurgical diagnostic methods can be employed. If gonioscopy shows that the angle has opened, one can be confident that iridectomy will be curative. If the angle still seems to be blocked, it is probable that the synechias are permanent and that the low tension is on the basis of suppression of aqueous production. This assumption can be proved or disproved by tonography. If the coefficient of aqueous outflow is high, . . . [Full Text PDF of this Article]

Author Affiliations
San Francisco

Department of Ophthalmology, University of California Medical School.

Footnotes
Received for publication June 25, 1957.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?