The commoner diseases of the eye : how to detect and how to treat them . or hypermetropic) eyes havesmall corneas and less space in the neighborhoodof the angle of the anterior chamber and so arepredisposed to attacks of glaucoma. In otherwords, the retention of the intraocular fluid isresponsible for all forms of glaucoma. In thechronic variety the changes that take place areso gradual that complete closure of the angleof the anterior chamber does not occur. Thoughdrainage through the lymph channels is moreor less obstructed, they are not completely the disease advances and the obst
The commoner diseases of the eye : how to detect and how to treat them . or hypermetropic) eyes havesmall corneas and less space in the neighborhoodof the angle of the anterior chamber and so arepredisposed to attacks of glaucoma. In otherwords, the retention of the intraocular fluid isresponsible for all forms of glaucoma. In thechronic variety the changes that take place areso gradual that complete closure of the angleof the anterior chamber does not occur. Thoughdrainage through the lymph channels is moreor less obstructed, they are not completely the disease advances and the obstruction is GLAUCOMA 255 not relieved by treatment, atrophy of the opticnerve from pressure takes place. Treatment.—The acute inflammatory varietycalls for prompt treatment which will, if givenearly, be wonderfully efficacious. The pains willbe relieved, the vision will improve, and afterthe glaucomatous storm is over the eye maybecome almost, if not quite, natural again. Thistreatment is a broad and quite peripheral iridec-tomy. The operation should be performed up-. Blocked Indie Angle in Recent Inflammatory Glaucoma,ward when possible, so that the resulting colo-boma may be covered by the upper lid. Thisnot only helps to hide the defect in the iris, butit largely prevents the unpleasant sensations thatwould be set up by the entrance of too muchlight into the interior of the eye. The operation should be performed in thefollowing manner: In the acute form, on ac-count of the excessive amount of congestion 25fi COMMONER DISEASES <»i i lih EYE present, cocain or holocain is not readily absorbedand a general anesthetic is necessary. In thechronic variety a local anesthetic will be suffi-cient. The conjunctival sac having first beenirrigated with a sterilized solution of boracicacid and all antiseptic precautions having beencarried out. the wire speculum is introduced and,the eye being steadied by fixation forceps, anincision is made in the upper part of the cornea
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Keywords: ., bookcentury1900, bookdecade1900, bookidcommonerdise, bookyear1904
