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Trabeculectomy

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https://www.readbyqxmd.com/read/28820156/viscoelastic-augmented-trabeculectomy-a-newer-concept
#1
Meghna Solanki, Ankur Kumar, Anubhav Upadhyay, Kishor Kumar
PURPOSE: Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma. METHODS: A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure...
August 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28816819/medium-term-outcomes-of-unsutured-scleral-flap-trabeculectomies-comment
#2
Bob Z Wang, Ghee Soon Ang, Peter Meagher
No abstract text is available yet for this article.
August 14, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28815088/use-of-anti-vegf-agents-in-glaucoma-surgery
#3
REVIEW
Mark Slabaugh, Sarwat Salim
A number of antivascular endothelial growth factor agents are currently available to treat various ocular conditions. These agents have similar, but distinct, biologic qualities and have been explored in the management of neovascular glaucoma and in glaucoma surgery. Several different delivery methods are described, and because these medications are routinely given as intraocular injections, some benefits over traditional antifibrotic medications when used in glaucoma surgery are noted. These agents effectively induce regression of anterior segment neovascularization and facilitate initial surgical management of neovascular glaucoma, but the long-term outcome of this condition remains dependent on definitive management of the underlying process...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28799080/visual-acuity-and-corneal-higher-order-aberrations-after-ex-press-or-trabeculectomy-and-the-determination-of-associated-factors-that-influence-visual-function
#4
Nobuko Kobayashi, Kazuyuki Hirooka, Eri Nitta, Kaori Ukegawa, Akitaka Tsujikawa
PURPOSE: This study investigated postoperative visual acuity and corneal higher-order aberrations following EX-PRESS or trabeculectomy. METHODS: Out of 56 eyes of 56 patients analyzed, 30 eyes were treated using trabeculectomy, while 26 eyes were treated with EX-PRESS. Visual acuity and corneal higher-order aberrations were analyzed in both groups before and at 2 weeks, 1, 2, and 3 months after the surgeries. Risk factors that could potentially influence corneal higher-order aberrations were evaluated...
August 10, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28777224/short-term-results-of-trabeculectomy-using-adjunctive-intracameral-bevacizumab-versus-mitomycin-c-a-randomized-controlled-trial
#5
Zakieh Vahedian, Mostafa Mafi, Ghasem Fakhraie, Reza Zarei, Yadollah Eslami, Hadi Ghadimi, Masomeh Mohebbi
PURPOSE: To compare the outcome of trabeculectomy using adjunctive intracameral bevacizumab versus intraoperative mitomycin C (MMC) MATERIALS AND METHODS:: In this double-blind, randomized clinical trial 87 eyes of 87 patients with primary open-angle or pseudoexfoliation glaucoma were assigned to each treatment group (44 cases received 1.25 mg intracameral bevacizumab at the end of operation and in 43 cases MMC was applied during surgery). Success was defined as intraocular pressure (IOP) between 6 and 21 mm Hg and at least 30% IOP drop with (qualified) or without (complete) glaucoma medications without additional glaucoma surgery...
August 2, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28774934/management-of-postoperative-inflammation-after-cataract-and-complex-ocular-surgeries-a-systematic-review-and-delphi-survey
#6
REVIEW
Florent Aptel, Cyrille Colin, Sema Kaderli, Catherine Deloche, Alain M Bron, Michael W Stewart, Christophe Chiquet
Prevention and management of postoperative ocular inflammation with corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs) have been evaluated in several randomised controlled trials (RCTs). However, neither consensus regarding the efficacies of different regimens nor established guidelines are currently available. This has resulted in different practice patterns throughout the world. A systematic literature review found that for the management of postcataract inflammation nepafenac produced a positive outcome in three of three RCTs (3/3), as did ketorolac (1/1), bromfenac (7/7), loteprednol (3/3) and difluprednate (6/6), but not flurbiprofen (0/1)...
August 3, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28767458/medium-term-outcomes-of-unsutured-scleral-flap-trabeculectomies-comment
#7
Ketaki Rajurkar, Suneeta Dubey
No abstract text is available yet for this article.
August 1, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28767457/comment-on-comparison-of-anterior-segment-optical-coherence-tomography-bleb-grading-moorfields-bleb-grading-system-and-intraocular-pressure-after-trabeculectomy
#8
Basak Can Ermerak, Mehmet Baykara, Hikmet Ozcetin
No abstract text is available yet for this article.
August 1, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28750481/aqueous-shunts-for-glaucoma
#9
REVIEW
Victoria L Tseng, Anne L Coleman, Melinda Y Chang, Joseph Caprioli
BACKGROUND: Aqueous shunts are employed to control intraocular pressure (IOP) for people with primary or secondary glaucomas who fail or are not candidates for standard surgery. OBJECTIVES: To assess the effectiveness and safety of aqueous shunts for reducing IOP in glaucoma compared with standard surgery, another type of aqueous shunt, or modification to the aqueous shunt procedure. SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register) (2016, Issue 8), MEDLINE Ovid (1946 to August 2016), Embase...
July 28, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28730285/an-update-on-implants-for-minimally-invasive-glaucoma-surgery-migs
#10
REVIEW
Ejaz Ansari
For several years, the gold standard for surgical treatment of glaucoma has been trabeculectomy. Although very successful at reducing intraocular pressure (IOP), there are several potential complications of trabeculectomy, including sight-threatening ones. This has stimulated much research aimed at the development of new and effective procedures to lower IOP with an enhanced safety profile. Minimally invasive glaucoma surgery (MIGS) procedures prioritise patient safety but also demonstrate efficacy in reducing IOP...
July 20, 2017: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/28730083/viscocanalostomy-combined-with-trabeculotomy-and-mitomycin-c-in-the-treatment-of-primary-congenital-glaucoma
#11
Chao-Xu Qian, Yuan Zong, Qin Chen, Zhi-Lan Yuan
AIM: To evaluate the long-term outcome of viscocanalostomy combined with trabeculotomy and mitomycin C in the treatment of primary congenital glaucoma. METHODS: This is a retrospective study. Forty-two eyes of 26 patients with primary congenital glaucoma were enrolled. Intraocular pressure (IOP), corneal diameter (mm) and cup/disc (C/D) were measured before and after the surgery respectively. Follow-up period was 30mo. RESULTS: The mean preoperative IOP was 30...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28727804/effects-of-pre-surgical-administration-of-prostaglandin-analogs-on-the-outcome-of-trabeculectomy
#12
Takako Miki, Tomoko Naito, Miyuki Fujiwara, Ryoichi Araki, Rieko Kiyoi, Yusuke Shiode, Atsushi Fujiwara, Yuki Morizane, Fumio Shiraga
For primary open angle glaucoma (POAG), laser treatment or surgery is used when the target intraocular pressure (IOP) cannot be achieved by pharmacological agents, such as prostaglandin (PG) analogs; these drugs also have varied effects. We retrospectively reviewed the medical records of 74 POAG patients (74 eyes) whose IOP was inadequately controlled by PG analogs (bimatoprost [13 eyes], latanoprost [34 eyes], tafluprost [11 eyes], and travoprost [16 eyes]) and underwent primary trabeculectomy. The proportion of patients with no recurrent IOP elevation within 24 months post-trabeculectomy was significantly (P < 0...
2017: PloS One
https://www.readbyqxmd.com/read/28724825/a-rare-case-of-overlapping-sturge-weber-syndrome-and-klippel-trenaunay-syndrome-associated-with-bilateral-refractory-childhood-glaucoma
#13
Manju R Pillai, P P Hasini, Ashish Ahuja, S R Krishnadas
A 6-year-old girl presented with blurred vision and was found to have elevated intraocular pressure (IOP) and glaucomatous optic disc damage in both eyes. She also displayed capillary malformations on the face (port-wine stain), upper back and all four limbs, angiomatosis in the brain and had hypertrophy of the left upper and lower limbs typical of overlapping Sturge-Weber syndrome and Klippel-Trenaunay syndromes. She was initially managed with IOP lowering topical medications but required trabeculectomy in the right eye followed by Ahmed valve implantation in both eyes...
July 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28724812/use-of-glycerol-preserved-corneas-for-corneal-transplants
#14
Neeti Gupta, Prerna Upadhyay
PURPOSE: This study was carried out to see the results of glycerol-preserved cornea (GPC) in emergency situation when fresh corneal tissue was not available. The aim was to study the outcome of corneal transplantation using GPC. METHODS: This was a retrospective study. The medical records of all the patients were reviewed, who underwent keratoplasty using "GPC" during the period from October 2011 to December 2015. The indication of keratoplasty, duration of preservation of the GPC, and its outcome were analyzed...
July 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28719416/the-ophthalmology-surgical-competency-assessment-rubric-for-trabeculectomy
#15
Catherine M Green, Sarwat Salim, Deepak P Edward, Raghu C Mudumbai, Karl Golnik
PURPOSE: To produce an internationally valid tool to assess skill in performing trabeculectomy surgery. METHODS: A panel of 5 experts developed a tool for assessing trabeculectomy surgery by using a modified Dreyfus scale of skill acquisition and providing descriptors for each level of skill for each category. The tool was then reviewed by a panel of 10 international content experts for their constructive comments, which were incorporated into the final rubric tool...
July 17, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28706441/ocular-lubricant-use-in-medically-and-surgically-treated-glaucoma-a-retrospective-longitudinal-analysis
#16
Jayant Venkatramani Iyer, Yang Zhao, Fiona Pin Miao Lim, Louis Tong, Tina Tzee Ling Wong
BACKGROUND: Chronic use of intraocular pressure-lowering medications is associated with ocular surface disease (OSD). In this study, we assess the incidence of topical lubricant use as a surrogate marker for underlying OSD, in medically and surgically treated glaucoma patients. METHODS: Retrospective chart review was performed for newly diagnosed glaucoma patients who were started on topical medications in 2007 and followed up over a 5-year period. Primary outcome measure was the incidence of topical lubricant use in these patients and a subset of these patients who required glaucoma or cataract surgery during follow-up...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28692597/practice-preferences-for-glaucoma-surgery-a-survey-of-the-american-glaucoma-society
#17
Kateki Vinod, Steven J Gedde, William J Feuer, Joseph F Panarelli, Ta C Chang, Philip P Chen, Richard K Parrish
PURPOSE: The purpose of this study is to assess surgical practice patterns among the American Glaucoma Society (AGS) membership. METHODS: An anonymous online survey evaluating the use of glaucoma surgeries in various clinical settings was redistributed to AGS members. Survey responses were compared with prior results from 1996, 2002, and 2008 to determine shifts in surgical practice patterns. Questions were added to assess the preferred approach to primary incisional glaucoma surgery and phacoemulsification combined with glaucoma surgery...
July 7, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28671926/high-altitude-associated-changes-in-intraocular-pressure-abrogated-by-trabeculectomy
#18
William Foulsham, Andrew J Tatham
PURPOSE: To highlight the effect of ascent to high altitude on intraocular pressure (IOP) in a patient with primary open-angle glaucoma, who had previously undergone trabeculectomy in 1 eye. METHODS: Case report. RESULTS: A 66-year-old mountaineer with primary open-angle glaucoma and previous right trabeculectomy performed self-tonometry using a rebound tonometer (Icare HOME) before and during an expedition in the Himalaya. In the nonoperated eye, there was a statistically significant increase in IOP as the patient ascended to 5000 m over 8 days (R=0...
June 30, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28669026/a-pilot-study-on-ocular-safety-and-efficacy-of-infliximab-as-an-antifibrotic-agent-after-experimental-glaucoma-filtration-surgery
#19
Eleni Nikita, Alexandre Moulin, Ioannis Vergados, Dimitrios Brouzas, Panagiotis G Theodossiadis
INTRODUCTION: Tumor necrosis factor-α (TNF-α) is a multifunctional, proinflammatory cytokine that mediates pleiotropic biological functions, especially inflammation and immunoregulation. We hypothesized that blocking TNF-α with a monoclonal antibody would decrease inflammation and subconjunctival scarring in an animal model of experimental filtration surgery. METHODS: In a randomized, prospective, masked-observer study, 30 New Zealand albino rabbits underwent glaucoma filtration surgery...
July 1, 2017: Ophthalmology and Therapy
https://www.readbyqxmd.com/read/28665780/viscoless-manual-small-incision-cataract-surgery-with-trabeculectomy
#20
Aparna Rao, Debananda Padhy, Gopinath Das, Sarada Sarangi
PURPOSE: To compare the efficacy of combined manual small incision cataract and glaucoma surgery with anterior chamber maintainer (ACM) alone versus that with intraoperative viscoelastics. METHODS: Hospital electronic medical records of patients who underwent small incision cataract and trabeculectomy and intraocular lens implantation without Mitomycin-C from 2014 to 2016 were identified from the hospital operation theater database for this retrospective, hospital-based comparative study...
June 30, 2017: Seminars in Ophthalmology
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