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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XII - WHICH TYPE OF SURGERY<br />
GONIOTOMY<br />
TRABECULOTOMY<br />
Congenital, Infantile<br />
Congenital, Infantile<br />
without antimetabolites<br />
old patients with mild/moderate damage<br />
TRABECULECTOMY<br />
First choice <strong>for</strong>:<br />
POAGs,<br />
Secondary<br />
GLAUCOMAS<br />
with<br />
NPFS<br />
Non per<strong>for</strong>ating<br />
filtration surgery<br />
<strong>for</strong> POAGs<br />
When target IOP is<br />
not very low<br />
5-FU<br />
MMC<br />
<br />
}<br />
pigmentary or pseudoexfoliation <strong>glaucoma</strong><br />
young patients, congenital, infantile<br />
- previous surgery with conjunctival incision<br />
- inflammatory disease<br />
- low target IOP needed<br />
- neovascular <strong>glaucoma</strong><br />
- uveitis<br />
- long-st<strong>and</strong>ing topical medications<br />
- ocular pemphygoid<br />
- Stevens-Johnson syndrome<br />
DRAINAGE TUBES<br />
CYCLODESTRUCTION<br />
when no conjunctiva is dissectable <strong>for</strong> a trabeculectomy in the upper quadrant<br />
usually <strong>for</strong> poor prognosis cases; indications may vary depending on the technique<br />
i.e. cryoapplications or photocoagulation<br />
© European Glaucoma Society