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Abstract #49060 Published in IGR 14-1
Surgical management of glaucoma: a review
Morgan WH; Yu DYClinical and Experimental Ophthalmology 2012; 40: 388-399
This review will briefly describe the history of surgical glaucoma treatment and concentrate on the current surgical strategies for managing glaucoma. We include a discussion of treatments for angle closure, open angle glaucoma and paediatric glaucoma with an emphasis on drainage surgery. We also briefly describe the role of cataract surgery. Drainage surgery evolved from peripheral iridectomy and sclerotomy with an increasing understanding of aqueous flow within the eye and the production of a functioning bleb. The current mainstays include trabeculectomy, glaucoma drainage devices as well as goniotomy and trabeculotomy, which have all been in existence for more than 40 years. We discuss their various advantages as well as methods used to minimize their disadvantages, including the antimitotics and case selection. We finish by discussing the preliminary results of some newer forms of drainage surgery illustrating the energetic search for methods to minimize the problems of hypotony and bleb failure.
Lions Eye Institute, Centre for Ophthalmology and Visual Science, University of Western Australia, Nedlands, Western Australia.
Full articleClassification:
12.1 General management, indication (Part of: 12 Surgical treatment)