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Congenital and Pediatric Glaucomas.

Joseph E. Alfano, MD
Am J Dis Child. 1971;121(4):364. doi:10.1001/archpedi.1971.02100150138025.
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Donald Shaffer and Daniel Weiss who are well known for their work on glaucoma have written a very comprehensive treatise on this subject with particular reference to those glaucomas occurring in infants and children.

The textbook is conventionally divided into two sections, the first dealing with the primary glaucomas and the second with the secondary glaucomas.

In the first section the authors review the anatomy of the chamber angle and the pathologic physiology of the congenital (primary) glaucoma. Following this the various methods of diagnosis of this condition are reviewed.

In the second section dealing with the secondary glaucomas the authors survey those conditions in which a secondary elevation of the intraocular pressure can occur. These conditions include mesodermal malformations of the iris, the phakomatoses, certain metabolic disorders, spherophakia, and glaucoma associated with the rubella syndrome.

The section on therapy is skimpy and I found several points in which I


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