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Abstract #5733 Published in IGR 2-1
Guidelines for pseudoexfoliation glaucoma
Gruber D; Kretz GJournal Français d'Ophtalmologie 2000; 23: 285-288
In a series of good practice of glaucoma management, Gruber and Kretz discuss the management of pseudoexfoliation glaucoma. They particularly discuss the diagnosis, the epidemiology and the behaviour of IOP. As far as treatment is concerned, these authors start with monotherapy with a topical beta-blocker. The authors feel that it makes little sense to add more drugs, and that the next step should be laser. The effect of laser is particularly good in this condition. They feel that some 64% will be controlled with this treatment modality. If filtering surgery is necessary, the choice is between a classical trabeculectomy and deep sclerectomy. In the authors' opinion, there is no difference between these two methods. If a combined procedure has to be done, they will use phacoemulsification, even if the procedure is difficult because of limited pupillary dilatation and because of the fragile zonulae.LA: French
Dr. D. Gruber, 34 place de l'Hotel de Ville, 76600 Le Havre, France
Classification:
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
