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terminology and guidelines for glaucoma ii - Kwaliteitskoepel

terminology and guidelines for glaucoma ii - Kwaliteitskoepel

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4.1 - PRIMARY CONGENITAL FORMS<br />

Medical treatment is usually not effective nor practicable in long term. Medications, including oral CAIs can be considered<br />

in preparation <strong>for</strong> surgery, <strong>and</strong> in case of failed surgery while awaiting <strong>for</strong> further options.<br />

4.1.1 - PRIMARY CONGENITAL GLAUCOMA<br />

* Primary surgery: early goniotomy or trabeculotomy or filtration surgery may be indicated as IOP rise results from<br />

trabecular maldevelopment<br />

4.1.2 - PRIMARY INFANTILE GLAUCOMA<br />

* Primary surgery: early goniotomy or trabeculotomy or filtration surgery<br />

4.1.3 - GLAUCOMA ASSOCIATED WITH CONGENITAL ANOMALIES<br />

* Treatment to be adapted to the primary anomaly, the mechanism of IOP elevation <strong>and</strong> the quality of life of the<br />

patient<br />

Ch. 4 - 3 EGS

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