A pharmacologist looks at medical treatment in glaucoma--in retrospect and in prospect.

Abstract:

:The histochemical distribution of carbonic anhydrase activity in the ciliary processes is shown. There is a multiplicity of possible points of attack of carbonic anhydrase inhibitors, We do not know which sites are critically inhibited at clinical dosage. One primary mechanism of the therapeutic action of miotics is ciliary muscle contraction, but on prolonged treatment, subsensitivity of the muscle may shift emphasis to miotic inhibition of aqueous secretion by unknown mechanisms. The trabecular meshwork is a slow tissue living off the aqueous. Aqueous composition in chronic simple glaucoma should therefore be studied with a view to possible treatment of the sick meshwork.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Bárány EH

doi

10.1016/s0161-6420(79)35548-8

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

80-94

issue

1

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(79)35548-8

journal_volume

86

pub_type

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