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Top-Eight of the Third Slovak Glaucoma Society Meeting
April 26-27, 2013, Košice, Slovakia
Mária Praženicová, Sylvia Ferková, Monika Moravská
- The risk factors for glaucoma and glaucoma manifestation have to be discriminated. Risk factors are detectable via medical history of the patient or objective examination (high IOP, thin cornea, gonioscopy). Not even the presence of all of these risk factors is enough for a glaucoma diagnosis. The risk factors only enhance its probability. (Thomas Kuběna, Pavel. Černošek, Czech Republic)
- Most recently the first preservative - free prostaglandin analogue (tafluprost) has been introduced in clinical practice, and has shown that when preservative-free, a prostaglandin analogue is also better tolerated than the preserved preparations in the same drug class. (Gabor Holló, Hungary)
- The 360-degree suture or cannula trabeculotomy is better for congenital glaucoma than a goniotomy, both in terms of pressure control with a single operation and long-term maintenance of vision. The trabeculotomy procedures are more work and require greater technical skill but the results are worth it. (ASCRS Glaucoma Clinical Committee)
- Modern cataract surgery using phacoemulsification is undoubtedly the most commonly performed IOP-lowering procedure worldwide today. Although a small risk for complications exists, it is hard to argue against the fact that the benefits of early cataract surgery outweigh the risks in most patients with mild, moderate, and, in some circumstances, advanced glaucomatous disease. (Kuldev Singh, USA)
- Glaucoma surgery with Ex-press implant on the eyes with openangle glaucoma is a safe and gentle method with minimal surgical and postoperative complications. Its long-term effectiveness will be proved in further studies. Sixteen patients after Ex-Press implantation: mean IOP before surgery 28 ± 5 mmHg, after surgery (6-20 months) 13 ± 2,5 mmHg (only two patients with monotherapy). (Sárka Pitrová, Elena Nutterová, Czech Republic)
- Using the examination technique of PERG and PVEP, the authors found that in high-tension glaucomas of varied etiology ( POAG, PG, PEXG), the damage occurs in the whole optic pathway. Patients with PG had the highest degree of damage of the optic pathway. In normal-tension glaucoma, however, the ganglion cell layer was relatively normal but significant pathological changes were found in the optic pathway. (Ján Lešták et al., Slovakia)
- Drainage antiglaucoma implants are the choice for advanced refractory glaucomas, in which we assume that the decrease in IOP stabilizes or slows the deterioration of visual function. ( Sylvia Ferková, Slovakia)
- We have to be aware of genetic predisposition of our patients to answer differently to various glaucoma medications. Pharmacogenomics approach regarding the variability of the response to drug will play an important role in the future. (Mária Praženicová, Slovakia)