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…
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….
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…
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…
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 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…
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…
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’…
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…
THE SURGICAL DECISION The decision to operate on any eye is a serious one that glaucoma surgeons confront in two basic situations. The first is when the intraocular pressure (IOP)…
