Glaucoma outflow procedures

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Glaucoma outflow procedures

GENERAL CONSIDERATIONS If there is no internal flow block and intraocular pressure (IOP) remains too high despite maximally tolerated medical therapy, surgery to relieve outflow block is needed. Such procedures…

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Complications and failure of filtering surgery

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Complications and failure of filtering surgery

Glaucoma filtering surgery is fraught with various complications for the simple reason that it is designed to interrupt the integrity of the globe. In all other intraocular procedures, ophthalmologists try…

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Pediatric and miscellaneous procedures

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Pediatric and miscellaneous procedures

SURGERY FOR INFANTILE AND JUVENILE GLAUCOMA GONIOTOMY Perhaps the most satisfactory operations for treatment of primary congenital (infantile) glaucoma are goniotomy and trabeculotomy ab externo (see Ch. 19 ). Goniotomy…

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New ideas in glaucoma surgery

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on New ideas in glaucoma surgery

INTRODUCTION Over the last 100 or so years, many surgical approaches to glaucoma have been proposed and tried. Few have had the staying power of trabeculectomy or, more recently, the…

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Laser treatment for internal flow block

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Laser treatment for internal flow block

LASER PERIPHERAL IRIDOTOMY Laser iridotomy has, for the most part, replaced incisional surgical iridectomy. It is safer, achieves similar results, and is preferred by patients. Laser iridotomy is indicated for…

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Challenges for the new century

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Challenges for the new century

In the preceding chapters, we have tried to summarize the important information known about glaucoma, its classification, diagnosis, and management. It should be readily apparent to the thinking reader that…

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Laser treatment for outflow obstruction

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on Laser treatment for outflow obstruction

LASER TRABECULOPLASTY HISTORY Modifications of the trabecular meshwork to increase the outflow of aqueous humor have evolved since Krasnov first reported the temporary lowering of intraocular pressure (IOP) after ‘trabeculo-puncture’…

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General aspects of laser therapy

Feb 12, 2019 by in OPHTHALMOLOGY Comments Off on General aspects of laser therapy

Laser therapy has become the method of choice for treating many forms of glaucoma, especially when medical modalities prove inadequate or patient compliance with medical regimens is poor. In angle-closure…

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