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The Glaucomas: Basic Sciences

Benjamin H. Ticho, MD
JAMA. 1996;276(11):925. doi:10.1001/jama.1996.03540110079042.
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Glaucoma is a lot like hypertension. In its most common form, glaucoma sneaks up on its victims, producing symptoms only in the end stage but frequently with devastating consequences. Like hypertension, glaucoma requires a unique kind of physician for its world of late or occasionally sudden presentation, poor compliance, erratic responses, and unusual manifestations. Glaucoma properly treated rarely produces improved vision, so practitioners must be satisfied with statistical victories and presumably successful prevention (presumably, because success can only be determined in retrospect).

This new textbook edition, with volumes on basic sciences, diagnosis, and treatment, improves on the first edition in organization, scope, and editorial features. Glaucoma has its own set of risk factors, including racial, age, familial, and systemic predelictions. However, glaucoma frequently breaks its own rules, with perverse behavior that stymies attempts at early detection, reliable treatment, and prognostication. The driving concept behind the new edition of The


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