vol1 - Page 243
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pressure is the only factor w_ know o_ which
effects the course of the disease. If the
• pressure can be lowered sufficiently_ it
...._ usually alters the course of the disease.
Therefore, most persons conclude that the
treatment of glaucoma is simply lowering the
intraocular pressttTe. This i_s not neces-
sarily the case_ In treating glaucoma, we
must attempt to protect and preserve t_he
"_ - optic nerve. By simply lowering intraccular
pressure, we_Rnothing to strengthen the
optic nerve. _I (Emphasis _ded)
Is Spaeth suggesting the only _accepted _ medical
therapies for glaucoma should involve drugs known to mstrengthen
the optic nerve? _ Xf so, then all existing and #accepted _ mode5
of glaucoma treatment would be deemed _Ineffective u because_ as
.i_ has been noted above, all existing medical therapies for the
treatment of glaucoma have only one pu_poser the reduction of
loP°
This issue came up during Keith Greenes cross-exami-
nation by Mrs Zeese. Mr. Zeese asks_ "Isn't it true there are no
glaucoma drugs that strengthen the optbz nerve? N Green
responds_ #Not that we are aware of, but I don't know how to test
for thato "53_/
The American Academy of Ophthalmology (AAO) seeks to
redefine the existing standard in the following way:
To be a useful mode of therapy for giaucom&,
a drug ... that reduces intraocular pressure
must ... reduce the pressure _sufficiently to
prevent optic nerve damage. There is evi-
dence that marijuana o._ can lower intraocu-
lar pressure. How,vats there are no
conclusive studies to date to indicate that
marijuana .®. can safely and _sffectively
_35./ /_d. at 5o
536/ Cross-examination of Keith Green, Ph.D., Tr. 9-71.
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