vol1 - Page 222
Page 222
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treatment determination on when laser surgery may be necessary
is, however, appropriately left to the ophthalmic community to
resolve.
In sum, glaucoma left untreated has serious
consequences -- including the progressive loss of sight. Thus
extremely powerful chemical agents with debilitating adverse
physical or mental effects are acceptable in the life-long battle
to preserve a patientes vision. Likewise_ high risk surge_l as
a last resort is also warranted°
Despite this seemingly long list of treatments
currently accepted as #safe n in the treatment of glaucoma, there
is still no medically known cure for the disease. As Dr. Hepler
has stated:
Above all, even with the use of all presently
< available forms of medical therapy, there are
...... many patients whose IOPs are not
controllable_ whoA_refore lose vision and
may become blind_ _t
In 1981_ the National Academy of Sciences/Institute on
.... Medicine assessed current glaucoma control therapies:
Treatment of glaucoma depends on the type and
cause° It may be pharmacological or
surgical. Surgery is useful treatment in
relatively few cases_ there is a high
_i incidence of failure and serious complica-
tions may occur. Available antiglaucoma drugs
are effective in regulating intraocular
pressure in many patients_ and are the
mainstay of treatment of the most common form
487/ Act Official State Reportsg Vo!. IX, Exhibit I0
_Protocol: A Research Program to Make Marijuana Available to
Glaucoma Patients for use as an Intraocular Antihypertensive_ _
New Jersey State Department of Health Controlled Substances
Therapeutic Research Program, Aprils 1985, p. 42 (quoting Hepler_
Robert So & Petr_s_ Robert J. _ _Experiences with Administration
of Marijuana to Glaucoma Patients)._
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