advertisement
Abstract #5871 Published in IGR 2-1
New perspectives in selective trabecular surgery
Jacobi PC; Krieglstein GKOphthalmology Clinics of North America 2000; 13:85-100
The aim of trabecular surgery is to selectively combat the diseased structure central to the pathogenesis of chronic open-angle glaucoma, thereby reducing potential hazards during and after conventional filtering procedures. This overview considers new techniques in internal trabecular surgery. Special emphasis is placed on the description of each novel technique, its instrumentation, presumed mechanism of action, and clinical results. Trabecular aspiration is evaluated as a method of clearing intertrabecular spaces of extracellular debris in pseudoexfoliation glaucoma with or without simultaneous cataract surgery, and gonicurettage or laser trabecular ablation are discussed for the treatment of absolute glaucomas. Where corneal haze has formed, visualization of the anterior chamber angle structures and trabecular surgery is performed with the aid of a microendoscope. Although the results are very promising, it should be understood that some of these procedures are still in the experimental phase and are undergoing careful clinical evaluation, leaving plenty of room for refinements and further development.
Dr. P.C. Jacobi, Department of Ophthalmology, University of Cologne, Joseph-Stelzmannstrasse 9, 50931 Cologne, Germany
Classification:
12.8.5 Other (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
