vol1 - Page 201
Page 201
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angle glaucoma may actually be suffering from juvenile open angle
, _ glaucoma, m_/
There are two major types of glaucomas acute or narrow
angle glaucomas and chronic or primary open-angle glaucoma°
Acute or narrow-angle glaucomas (accounting for approximately 10%
of all cases) triter sudden intolerable increases in intraocula_
pressure0 may cause intense debilitating pain and often result
in an extremely rapid loss of vision° In nearly all instances,
h
i_<
narrow or acute glaucomas require a surgical response to relieve
excessive XOPo Drug therapies are seldom prescribed to patients
afflicted with acute glaucomas. _2ul/
..... The vast majority of glaucoma patients (approximately
90%) suffer from chronic or primary open-angle glaucoma
(POAG). _2// While there are many variants to POAG, nearly all
........ are characterized bY abnormally elevated ocular tensions. In the
normal eye, ocular tensions range from 9 to 18 millimeters of
mercury (mm Hg.). Tensions which exceed 20 mm Hg. are generally
considered suspect. 4t_/ Patients afflicted with POAG experience
damage to the optic nerve as the result of abnormally elevated
intraocular tensions. Unrelieved, these excessive intraocular
Merrl%_
__q/ Cross examination of Dr. John Merritt, Tr. 10-112. °°_
notes, "The young patient tends to have a more severe form of
glaucom_o ° _ and the young [glaucoma patients_ are far more
difficult to treat" Tr. i0-176-177.
_2_I/ Affidavit of Dr. George Spaeth at 5, "the secondary
[narrow-angle] glaucomas, are usually treated . . . surgicallyo _
4_/ Affidavit Robert Randall, Exhibit 2B, Affidavit of Robert
Helper, M.D. at _ 3_ Affidavit of Dr_ George Spaeth, at 5, "The
only types of glaucoma which is [are_ pertinent to these proceedings."
_2_/ Cross-examination of Dr. Richard North, Tr. 7-71.
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