Glaucoma

Metadata

Gutenberg ID

23544

Title

Glaucoma

Language

en

Book source

Project Gutenberg

Description max 80 words

A 1914 medical symposium edited by Willis O. Nance and Wesley Hamilton Peck, this volume presents expert discussions on glaucoma etiology, pathology, and surgical relief. Featuring contributions from leading ophthalmologists of the era, the text explores non-surgical measures like myotics and massage alongside surgical techniques such as trephining and iridectomy. It offers a historical perspective on managing increased intra-ocular tension, balancing conservative therapy with operative intervention to preserve vision.

Summary up to 500 words

Published in 1914, this symposium compiles expert presentations from the Chicago Ophthalmological Society regarding the diagnosis and treatment of glaucoma. Edited by Willis O. Nance and Wesley Hamilton Peck, the volume reflects a transitional era in ophthalmology where mechanical and electrical adjuncts were tested alongside evolving surgical philosophies. The work is structured into five sections: Etiology and Classification, Pathology, Non-surgical Measures, Trephining, and Other Surgical Operations. Dr. Edward Jackson establishes that glaucoma involves increased intra-ocular tension caused by fluid outflow obstruction, often at the anterior chamber angle. He notes contributing factors such as blood pressure and tissue affinity for water, arguing that the balance of pressure is maintained by a regulative mechanism controlling fluid flow. Dr. John Elmer Weeks details pathological changes in the cornea, iris, and ciliary body. Non-surgical approaches are examined extensively. Dr. George Edmund de Schweinitz discusses myotics (eserin, pilocarpin), mechanical massage, electricity, and diathermy. While acknowledging their roles in reducing tension, he warns against reliance on unproven devices and the difficulty of maintaining 'myotic life' in ambulant patients. Statistics from Dr. Meller's study of Lagrange sclerectomies are cited, showing high recurrence rates and complications like cataract and infection. In contrast, Dr. Robert Henry Elliot advocates trephining to create a foreign-body-free fistula, arguing it is safer and more effective than iridectomy for many cases, though acknowledging iridectomy's role in acute inflammatory glaucoma. Dr. Casey A. Wood compares trephining with other procedures like sclerotomy and cyclodialysis, concluding that creating a filtering cicatrix offers the best hope for permanent relief. The text debates the merits of each method, emphasizing that the choice depends on the disease form and the surgeon's skill. Ultimately, the volume highlights the debate between traditional methods and new techniques, aiming to relieve symptoms and preserve sight without unnecessary risk.

LLM editorial rating

4.2/5

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Categories

• Medicine