terminology and guidelines for glaucoma ii - Kwaliteitskoepel
terminology and guidelines for glaucoma ii - Kwaliteitskoepel
terminology and guidelines for glaucoma ii - Kwaliteitskoepel
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3.6.4 - COMPLEX CASES<br />
Complicated <strong>glaucoma</strong> cases such as those that have failed previous surgery, <strong>glaucoma</strong> secondary to uveitis, rubeosis,<br />
retinal surgery, congenital <strong>glaucoma</strong>s, etc. require specialist treatment.<br />
In addition to trabeculectomy, other <strong>for</strong>ms of therapy may be necessary such as <strong>glaucoma</strong> drainage devices, <strong>and</strong><br />
ciliary body ablation with the diode laser (“cyclodiode”), free running YAG laser (“cyclo YAG”) or cryoprobe<br />
(“cyclocryotherapy”). (see Ch. 3.6.4, 3.7.5 <strong>and</strong> FC XII)<br />
3.6.5 - DRAINAGE DEVICES<br />
The use of drainage devices such as those described by Molteno 134-139 , Krupin 140 , Baerveldt 141-144 , Ahmed 145-148 or<br />
Sbocket 149 is generally reserved <strong>for</strong> patients with risk factors <strong>for</strong> a poor result with trabeculectomy with antimetabolite.<br />
These factors include previous failed filtering surgery with antimetabolites, excessive conjunctival scarring due to<br />
previous surgery,with severe conjunctival or surface disease, active neovascular disease, paediatric aphakia, or where<br />
filtration surgery is going to be technically difficult 134-150 .<br />
A number of other devices aimed at replacing conventional filtering surgery <strong>for</strong> POAG are in different stages of<br />
development 151-152 .<br />
Ch. 3 - 36 EGS