By Ahmad A. Aref, Rohit Varma
This article offers specialist guideline at the innovations at the moment hired for the surgery of glaucomatous ailment, masking either the host of novel microinvasive units for remedy of milder phases and the sophisticated suggestions that increase good fortune charges in sufferers with complex affliction. The severe steps in every one strategy are essentially defined simply by many top of the range illustrations and surgical movies. Pearls and pitfalls of some of the options are highlighted, and invaluable info is equipped on symptoms, preoperative concerns, strength intra- and postoperative problems, and techniques for decreasing the occurrence of such adversarial occasions. every one remedy approach is addressed in a devoted stand-alone bankruptcy, making sure ease of reference for the practitioner. Readers will locate this publication, written by way of across the world famous specialists within the box, to be an excellent resource of up to date info on complicated glaucoma surgical suggestions.
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Extra resources for Advanced Glaucoma Surgery
2012;50:125–36. 59. Joondeph HC. Management of postoperative and post-traumatic cyclodialysis clefts with argon laser photocoagulation. Ophthalmic Surg. 1980;11: 186–8. 60. Craven ER, Katz LJ, Wells JM, et al. Cataract surgery with trabecular micro-bypass stent implantation in patients with mild-to-moderate open-angle glaucoma and cataract: two-year follow-up. J Cataract Refract Surg. 2012;38:1339–45. 61. Fernández-Barrientos Y, García-Feijoó J, Martínezde-la-Casa JM, et al. Fluorophotometric study of the effect of the glaukos trabecular microbypass stent on aqueous humor dynamics.
5. Ferrari E, Ortolani F, Petrelli L, et al. Ab interno trabeculectomy: ultrastructural evidence and early tissue response in a human eye. J Cataract Refract Surg. 2007;33:1750–3. 6. Seibold LK, Soohoo JR, Ammar DA, Kahook MY. Preclinical investigation of ab interno trabeculectomy using a novel dual-blade device. Am J Ophthalmol. 2013;155:524–9. 7. Singh D, Bundela DR, Agarwal DA, et al. Goniotomy ab interno “a glaucoma filtering surgery” using the fugo plasma blade. Ann Ophthalmol. 2006;38:213–7.
If a lower IOP is needed, phacotrabectome and trabectome still make good initial incisional therapy options as IOPs below 15 mmHg are achieved in up to 50 %, and they are safe and can improve vision where a cataract limits acuity. 96 per 1 mmHg . One study (n = 304) stratified IOP results after phaco-trabectome according to baseline IOP . When baseline IOP was >25 mmHg, there was a 45 % IOP decrease at 12 months. For baseline IOP between K. A. 2 % IOP increase (although they were on 60 % fewer medications compared to baseline).
Advanced Glaucoma Surgery by Ahmad A. Aref, Rohit Varma