By Ahmad A. Aref, Rohit Varma
This article offers specialist guideline at the strategies at the moment hired for the surgical procedure of glaucomatous affliction, protecting either the host of novel microinvasive units for therapy of milder phases and the sophisticated concepts that increase good fortune premiums in sufferers with complex ailment. The serious steps in each one strategy are basically defined as a result of many top quality illustrations and surgical movies. Pearls and pitfalls of a number of the thoughts are highlighted, and necessary details is supplied on symptoms, preoperative issues, power intra- and postoperative issues, and techniques for lowering the occurrence of such hostile occasions. each one therapy process is addressed in a devoted stand-alone bankruptcy, making sure ease of reference for the practitioner. Readers will locate this publication, written through the world over famous specialists within the box, to be a good resource of updated details on complicated glaucoma surgical thoughts.
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Additional info for Advanced Glaucoma Surgery
Ab interno trabeculectomy versus trabeculectomy for open-angle glaucoma. Ophthalmology. 2012;119:36–42. 15. Minckler D, Dustin L, Mosaed S (2010) Trabectome update: 2004–2010. Poster, American Glaucoma Society, Naples, 2010. 16. Mosaed S, Rhee D, Filippopoulos T. Trabectome outcomes in adult open-angle glaucoma patients: oneyear follow-up. Clin Surg Ophthalmol. 2010;28:5–9. 17. Ahuja Y, Ma Khin Pyi S, Malihi M, et al. Clinical results of ab interno trabeculotomy using the trabectome for open-angle glaucoma: the Mayo Clinic series in Rochester, Minnesota.
Weak evidence exists as to whether patients without glaucoma receiving cataract surgery achieve any reduction in IOP. 5 mm reduction at 3 years . IOP reductions of between 2–6 mmHg have been described following lens extraction in PACG eyes [8–11], notably greater in PACG compared to POAG eyes . A recent randomized, controlled trial evaluated laser peripheral iridotomy (LPI) versus lens extraction in patients with acute primary angle closure (APAC), following emergency medical management to lower the IOP.
The thin component of fibrin glue is now applied in the sub-tenon space, around and on the scleral donor patch graft, followed by the more viscous, second glue component. 2). Our preliminary data suggests that this prevents a hypertensive phase, achieves a lower final average IOP and reduces the need for topical medications. This approach is especially useful for advanced to end stage glaucoma and patients with poor compliance. For this reason, we prefer the 350 mm2 Baerveldt implant (Abbott Medical Optics, Abbott Park, Illinois) and glue without tube fenestrations.
Advanced Glaucoma Surgery by Ahmad A. Aref, Rohit Varma