(a) The aim of the operation is the formation of a foreign-body-free fistula.
(b) It is most important to leave uveal tissue untouched.
(c) Method of doing this explained.
(d) The area available for trephining.
(e) Method of increasing that area.
(f) Cornea splitting.
(g) Placing of trephine.
(h) Technique of using trephine.
(i) The operation is not difficult.
(j) The operation valuable as a prophylactic measure.
DR. ROBERT H. ELLIOT, F.R.C.S., Lieut.-Col. I.M.S., Madras, India.
Discussion by Dr. Frank C. Todd, Minneapolis.
V. Operations Other than Scleral Trephining for the Relief of Glaucoma.
Abstract:—
Most of the ordinary surgical procedures employed for lowering intra-ocular tension furnish a permanent cure of certain fairly well defined varieties of glaucoma. They also relieve the symptoms and retard the progress of other varieties of the disease, even if they do not perform a cure. In a third class of cases, they either have no effect whatever in arresting the disease or they hasten its march towards blindness.
What operative procedure gives, on the whole, the best results? In other words, what operation is the easiest of performance, is the least likely to be attended by serious complications and is available for the largest number of cases? Reasons for believing that of the better known procedures simple iridectomy is the least effective, while those interventions producing a large, thin, scleral filtration-cicatrix are the most valuable.
DR. CASEY A. WOOD, Chicago.
Most of the ordinary surgical procedures employed for lowering intra-ocular tension furnish a permanent cure of certain fairly well defined varieties of glaucoma. They also relieve the symptoms and retard the progress of other varieties of the disease, even if they do not perform a cure. In a third class of cases, they either have no effect whatever in arresting the disease or they hasten its march towards blindness.
What operative procedure gives, on the whole, the best results? In other words, what operation is the easiest of performance, is the least likely to be attended by serious complications and is available for the largest number of cases? Reasons for believing that of the better known procedures simple iridectomy is the least effective, while those interventions producing a large, thin, scleral filtration-cicatrix are the most valuable.
DR. CASEY A. WOOD, Chicago.
Discussion by Dr. A. E. Bulson, Jr., Fort Wayne