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The Ophthalmologist / Issues / 2026 / February / The Ophthalmologist’s Time Machine 38
Discussion

The Ophthalmologist’s Time Machine 38

Glaucoma, eugenics, and Lucien Howe (1848-1928): when the personal became political

By Christopher T. Leffler, Stephen G. Schwartz, Andrzej Grzybowski 2/27/2026 0 min read

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Clinical Scorecard: The Ophthalmologist’s Time Machine 38

At a Glance

CategoryDetail
Condition
Key MechanismsAngle-closure glaucoma with strong heritable components.
Target Population
Care Setting

Key Highlights

  • Howe's advocacy for eugenics is linked to his personal family history of glaucoma.

Guideline-Based Recommendations

Diagnosis

  • Assess family history for hereditary glaucoma.
  • Utilize genetic counseling and consider genetic testing for at-risk individuals.

Management

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Iridectomy may not provide a permanent solution; ongoing management and monitoring of intraocular pressure are necessary.

        Clinical Best Practices

        • Encourage genetic counseling and provide resources for patients with hereditary glaucoma.
        • Educate patients about the risks associated with familial glaucoma and the importance of regular eye exams.

        References

        • Source Article

        This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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