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Abstract

Some 30% of the globes received in the laboratory will have been enucleated in treatment of the intractable pain which is a feature of secondary end-stage or “absolute” glaucoma. The commonest cause of secondary absolute glaucoma in the elderly patient is thrombotic occlusion of the central retinal vein (see p. 81) and this is often the final stage in a process which may have been initiated by the primary and secondary glaucomas which will be described in this chapter. Secondary neovascular glaúcoma is brought about by proliferation of fibrovascular tissue in the chamber angle and this vasoproliferation is a response to transport, via the ocular fluids, of vasoformative biochemical agents synthesised in the retina in conditions in which there is underperf Sion and hypoxia in the neural tissues. Ischaemic disease is often present in several tissue components in the elderly eye.

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© 1993 Springer-Verlag London

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Lee, W.R. (1993). Absolute Glaucoma. In: Ophthalmic Histopathology. Springer, London. https://doi.org/10.1007/978-1-4471-3843-3_3

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  • DOI: https://doi.org/10.1007/978-1-4471-3843-3_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3845-7

  • Online ISBN: 978-1-4471-3843-3

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