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Abstract #52880 Published in IGR 15-1

Combined cataract and glaucoma surgery. Current options

Dietlein TS; Widder RA; Jordan JF; Jonescu-Cuypers C; Rosentreter A
Ophthalmologe 2013; 110: 310-315

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Trabeculectomy is no longer the gold standard for combined cataract glaucoma surgery considering the successful results following cataract surgery combined with trabeculotomy, viscocanalostomy and canaloplasty. The main disadvantage of these mostly non-penetrating procedures is the induction of conjunctival scarring which jeopardizes subsequent filtering surgery. Ab interno glaucoma surgery, including trabecular surgery and endocyclophotocoagulation, does not interfere with the conjunctival situation. These surgical options have a relatively minor risk profile for combined cataract glaucoma surgery compared to traditional filtering surgery; however, the pressure reducing efficacy of these ab interno approaches is limited with respect to the absolute reduction of intraocular pressure (IOP) and the achievable level of IOP. This has to be kept in mind when planning surgery.

Zentrum für Augenheilkunde, Universität Köln, Joseph-Stelzmann-Str. 9, 50931 Köln. Thomas.Dietlein@uk-koeln.de

Full article

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Classification:

12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)

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