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Glaucoma Following Cataract Extraction Associated With Use of Alpha-Chymotrypsin
RALPH E. KIRSCH, MD;
Patricia L. Biggs, RN
Arch Ophthalmol. 1964;72(5):612-620.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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It is the chief purpose of this communication to describe a transient postoperative glaucoma observed after uncomplicated intracapsular cataract extraction apparently associated with the use of -chymotrypsin.
My attention was first directed to this phenomenon in February of 1960 when unexplained corneal edema was observed in the first postoperative week and measurement of the intraocular pressure with the Schiotz tonometer revealed the surprisingly high tension of 57 mm Hg. Several similar cases soon followed, and these findings led to the development of a clinical study to attempt to delineate the possible role of -chymotrypsin in causing this glaucoma.
Material and Method
Postoperative Schiotz tonometry was performed, beginning on the first day after uncomplicated intracapsular cataract surgery, on 343 nonglaucomatous eyes of private patients operated upon by me using a standard technique. The study was continued on 31 eyes with cataract and known open-angle glaucoma. A fornix-based flap was used, at
. . . [Full Text PDF of this Article]
Author Affiliations
Miami, Fla
From the Departments of Ophthalmology, University of Miami School of Medicine and the Mount Sinai Hospital of Greater Miami.
Footnotes
Read before the Section on Ophthalmology at the 113th Annual Meeting of the American Medical Association, San Francisco, June, 1964.
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