advertisement
Abstract #10035 Published in IGR 5-3
The refractory glaucomas
Valtot FJournal Français d'Ophtalmologie 2003; 26, Hors série 2: 2S56-2S61
Refractory types of glaucoma continue to present a therapeutic challenge to ophthalmologists. Approaches toward the management of these difficult glaucomas are addressed in this paper. The first part devotes special attention to understand the cause(s) of the failure of previous filtering surgery(ies). The next part emphasizes filtration surgery with intraoperative application of antimetabolites: 5-fluorouracil or mitomycin C and the surgical and pharmacological management of failing filtration. In case of failure of multiple filtering surgery with application of antimetabolites, surgeons have to consider cyclodestructive procedures (transscleral diode laser or endoscopic cyclophotocoagulation) to reduce aqueous production, or fistulizing procedures with tube implants or other drainage devices (valves). LA: French
Institut du Glaucome, Fondation Hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris Cedex 14, France.
Classification:
12.1 General management, indication (Part of: 12 Surgical treatment)