By Ahmad A. Aref, Rohit Varma
This article offers specialist guideline at the ideas presently hired for the surgical procedure of glaucomatous sickness, protecting either the host of novel microinvasive units for therapy of milder phases and the sophisticated suggestions that increase good fortune premiums in sufferers with complicated sickness. The serious steps in each one technique are in actual fact defined through many high quality illustrations and surgical movies. Pearls and pitfalls of a number of the recommendations are highlighted, and beneficial details is equipped on symptoms, preoperative concerns, capability intra- and postoperative problems, and techniques for decreasing the occurrence of such hostile occasions. each one remedy procedure is addressed in a devoted stand-alone bankruptcy, making sure ease of reference for the practitioner. Readers will locate this e-book, written by means of across the world famous specialists within the box, to be an outstanding resource of updated details on complex glaucoma surgical strategies.
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Additional resources for Advanced Glaucoma Surgery
55. Jea S, Mosaed S, Vold S, Rhee D. Effect of a failed trabectome on subsequent trabeculectomy. J Glaucoma. 2012;21:71. 56. Töteberg-Harms M, Rhee DJ. Selective laser trabeculoplasty following failed combined phacoemulsification cataract extraction and ab interno trabeculectomy. Am J Ophthalmol. 2013;156:936–40. 57. Knape R, Smith M. Anterior chamber blood reflux during trabeculectomy in an eye with previous trabectome surgery. J Glaucoma. 2010;19:499–500. 58. Francis BA, Winarko J. Ab interno Schlemm’s canal surgery: trabectome and i-stent.
There are only three published cases detailing surgical intervention for hyphema associated with an IOP spike [27, 28]. The vast majority are cleared by 1 week. In our experience, visual acuities of 20/30 can be expected if the anterior chamber is properly pressurized and maintained as described above. A case series of 12 patients who complained of transient decrease in vision between 2 and 31 months following trabectome demonstrated a spontaneous rebleed associated with a mean IOP 12 mmHg higher than the preceding visit .
2000;1074:2300–4. S. Trikha et al. 16. Lai JS, Tham CC, Chan JC. The clinical outcomes of cataract extraction by phacoemulsification in eyes with primary angle closure glaucoma. J Glaucoma. 2006;15(1):47–52. 17. Huang G, Gonzalez E, Lee R, et al. Association of biometric factors with anterior chamber angle widening and intraocular pressure reduction after uneventful phacoemulsification for cataract. J Cataract Refract Surg. 2012;38(1):108–16. 18. Tham CC, Kwong YY, Leung DY, et al. Phacoemulsification versus combined phacotrabeculectomy in medically uncontrolled chronic angle closure glaucoma with cataracts.