Folds of the Choroid and Retina
Chorioretinal Folds Any condition causing a reduction in the area of the inner surface of the sclera (scleral thickening or scleral shrinkage) will cause the inner portion of the choroid,…
Normal Macula
Anatomic Subdivisions The retina is a delicate transparent tissue of maximal thickness (approximately 0.55 mm) at the foveal margin and minimal thickness (0.13 mm) at the umbo. Anatomically the macula…
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…
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…
Surgical management of cataract and glaucoma
The primary issue with regard to cataract surgery and glaucoma surgery in the same eye is how to position the cataract operation in the management scheme of the patient’s condition….
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…
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…
Miscellaneous laser procedures including laser ciliary body therapy
CYCLOPHOTOCOAGULATION If all other therapies fail or are contraindicated, it is possible to reduce aqueous production and lower intraocular pressure (IOP) by destroying elements of the ciliary body. Cyclophotocoagulation procedures…
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…
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…
