200 results match your criteria Glaucoma Complications and Management of Glaucoma Filtering


The XEN45 Gel Stent as a minimally invasive procedure in glaucoma surgery: success rates, risk profile, and rates of re-surgery after 261 surgeries.

Graefes Arch Clin Exp Ophthalmol 2018 Apr 22;256(4):765-771. Epub 2018 Jan 22.

Department of Ophthalmology, St. Martinus-Krankenhaus Düsseldorf, Gladbacher Str. 26, D-40219, Düsseldorf, Germany.

Purpose: The XEN45 Gel Stent is a flexible hydrophilic tube placed under the conjunctiva via the anterior chamber. This study investigates the IOP (intraocular pressure)-lowering potential, the risk profile, and the success rate of the XEN45 Gel Stent.

Methods: Two hundred and sixty-one eyes underwent surgery. Read More

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http://dx.doi.org/10.1007/s00417-018-3899-7DOI Listing
April 2018
5 Reads

Glaucoma-associated corneal endothelial cell damage: A review.

Surv Ophthalmol 2018 Jul - Aug;63(4):500-506. Epub 2017 Nov 14.

Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA. Electronic address:

The corneal endothelium is critical in maintaining a healthy and clear cornea. Corneal endothelial cells have a significant reserve function, but preservation of these cells is paramount as they have limited regenerative capacity. Glaucoma is a prevalent disease, and damage to the corneal endothelium may be caused by the disease process itself as well as by its treatment. Read More

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http://dx.doi.org/10.1016/j.survophthal.2017.11.002DOI Listing
September 2018
7 Reads

Anticoagulation in Glaucoma Surgery.

Semin Ophthalmol 2018 16;33(1):108-111. Epub 2017 Nov 16.

a Glaucoma Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.

Anticoagulation medications are used commonly, particularly in an elderly population. There are many systemic diseases and scenarios that require modulation of coagulation to prevent serious adverse outcomes. While there is some consensus about their use in cataract surgery, there is less certainty about their management with glaucoma surgery. Read More

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http://dx.doi.org/10.1080/08820538.2017.1353828DOI Listing
February 2018
11 Reads

Management of Delayed Suprachoroidal Hemorrhage after Glaucoma Surgery.

Semin Ophthalmol 2018 16;33(1):59-63. Epub 2017 Nov 16.

a Retina Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.

Purpose: To review the most current treatment recommendations and outcomes for delayed suprachoroidal hemorrhages.

Methods: Article review of management and outcomes of suprachoroidal hemorrhages, with emphasis on delayed suprachoroidal hemorrhages in the setting of glaucoma surgery.

Conclusion: Time of drainage of suprachoroidal hemorrhages remains controversial. Read More

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http://dx.doi.org/10.1080/08820538.2017.1353814DOI Listing
February 2018
9 Reads

[Outpatient management without day 1 clinical follow-up of patients undergoing uncomplicated filtering surgery].

J Fr Ophtalmol 2017 Dec 1;40(10):853-859. Epub 2017 Nov 1.

Service d'ophtalmologie, université de Lorraine, CHRU de Nancy-Brabois, 4, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France. Electronic address:

Introduction: Although the general increase in ambulatory surgery allows for a 20% reduction in costs of hospitalization, the necessity of a day 1 postoperative visit remains the main problem for elderly patients or those who reside at considerable distance. For these reasons, in 2014, we decided to only see patients with uncomplicated filtering surgery at D5 and D21 and to replace the D1 visit with a telephone call. The primary goal of our study was to analyze a population of patients undergoing uncomplicated filtering surgery who were not seen at D1 and to describe the frequency of postoperative complications, intraocular pressure results and therapeutic management at D5 and D21. Read More

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http://dx.doi.org/10.1016/j.jfo.2017.04.013DOI Listing
December 2017
3 Reads

Co-management of cataract and glaucoma in the era of minimally invasive glaucoma surgery.

Curr Opin Ophthalmol 2018 Jan;29(1):88-95

aDepartment of Ophthalmology and Visual Sciences, University Hospitals, Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OhiobMill Valley Eye Center, Mill Valley, CAcEye Institute, University Hospitals, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Purpose Of Review: This review discusses the options available to be used in conjunction with phacoemulsification cataract surgery to control intraocular pressure. We present a strategy for planning which surgery should be performed based on goals of care.

Recent Findings: New clinical evidence for using the CyPass, Kahook and Xen45 devices has been published recently and is summarized. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000444DOI Listing
January 2018
10 Reads

Ab Interno Gel Implant for the Treatment of Glaucoma Patients With or Without Prior Glaucoma Surgery: 1-Year Results.

J Glaucoma 2017 Dec;26(12):1130-1136

International Vision Correction Research Center (IVCRC), University of Heidelberg, Germany.

Purpose: The purpose of this study is to evaluate IOP lowering effects and complication management of an ab interno gel implant for the treatment of patients refractory to antiglaucoma medication or glaucoma surgery.

Methods: Retrospective analysis of the medical records of 242 consecutive eyes of 146 patients with uncontrolled intraocular pressure (IOP) despite maximum tolerated medical therapy or prior surgical intervention that underwent XEN45 implantation (as sole procedure or in combination with cataract surgery) between March 2014 and June 2015. Data included IOP, number of glaucoma medications, the need for additional surgery, needling, and complications. Read More

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http://dx.doi.org/10.1097/IJG.0000000000000803DOI Listing
December 2017
22 Reads

Practice Preferences for Glaucoma Surgery: A Survey of the American Glaucoma Society.

J Glaucoma 2017 Aug;26(8):687-693

*Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, Icahn School of Medicine, New York, NY †Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL ‡Department of Ophthalmology, University of Washington, Seattle, WA.

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. Read More

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http://dx.doi.org/10.1097/IJG.0000000000000720DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726398PMC
August 2017
30 Reads

Descemet's Membrane Dehiscence Resulting From Misdirected Viscoelastic During Anterior Chamber Reformation.

Eye Contact Lens 2018 Sep;44 Suppl 1:S355-S357

Department of Ophthalmology (E.C.), Eye and Ear Institute, University of Pittsburgh Medical Center, Pittsburgh, PA; Department of Ophthalmology (G.D.), Northwell Health Physician Partners, Great Neck, NY; Department of Ophthalmology (W.S.), State University of New York Downstate Medical Center, Kings County Hospital Center, Brooklyn, NY; and Department of Ophthalmology (D.L.), State University of New York Downstate Medical Center/Kings County Hospital Center, Brooklyn, NY and NYU Langone Medical Center, New York, NY.

We report a case of Descemet's membrane detachment after inadvertent intrastromal injection of hyaluronic acid. Surgical removal was attempted with minimal but slow improvement. Near-complete resolution occurred with subsequent conservative management within 6 weeks. Read More

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http://dx.doi.org/10.1097/ICL.0000000000000378DOI Listing
September 2018
24 Reads

Subconjunctival implantation of ologen Collagen Matrix to treat ocular hypotony after filtration glaucoma surgery.

Eye (Lond) 2017 Oct 2;31(10):1475-1479. Epub 2017 Jun 2.

Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, Shimane, Japan.

PurposeTo report the results of subconjunctival ologen Collagen Matrix implantation to manage ocular hypotony after filtration glaucoma surgery.Patients and methodsThis retrospective observational case series included 12 consecutive implantations of ologen in nine eyes of nine Japanese subjects (five men, four women; mean age±SD, 72.1±12. Read More

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http://dx.doi.org/10.1038/eye.2017.98DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639202PMC
October 2017
1 Read

Assessment of conditions affecting surgical success of Ahmed glaucoma valve implants in glaucoma secondary to different uveitis etiologies in adults.

Eye (Lond) 2017 Oct 19;31(10):1435-1442. Epub 2017 May 19.

Department of Ophthalmology, Ankara Training and Research Hospital Ankara, Turkey.

PurposeThere is little known about the long-term efficacy and safety of Ahmed glaucoma valve (AGV) implant and about the conditions affecting surgical success in uveitic glaucoma (UG).Patients and methodsThe charts of adult patients with UG who underwent AGV implantation from 2006 to 2015 were reviewed retrospectively.ResultsData of 46 eyes of 39 patients were evaluated. Read More

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http://dx.doi.org/10.1038/eye.2017.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639197PMC
October 2017
29 Reads

Surgical Management of Pediatric Glaucoma.

Dev Ophthalmol 2017 25;59:165-178. Epub 2017 Apr 25.

Pediatric glaucoma surgery is challenging because of the differences in anatomy from the adult, differences in the behavior of the tissues of a child's glaucomatous eye, the variety in causes of the disease, and difficulties with postoperative management. Goniotomy and trabeculotomy are the preferred initial treatments for primary congenital glaucoma. Trabeculectomy with adjunctive mitomycin C is more likely to succeed in older, phakic patients, but carries the long-term risk of bleb-associated endophthalmitis. Read More

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http://dx.doi.org/10.1159/000458495DOI Listing
September 2017
23 Reads

Management of Concomitant Cataract and Glaucoma.

Dev Ophthalmol 2017 25;59:155-164. Epub 2017 Apr 25.

The coexistence of cataract and glaucoma represents a challenge for the ophthalmologist and the issue is still open to debate. The surgical management is based on both the visual field defect and the loss of visual acuity. The surgical options currently available are: (1) cataract extraction alone, (2) sequential glaucoma surgery and cataract extraction, and (3) combined surgery by 1 site or by 2 separate sites. Read More

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http://dx.doi.org/10.1159/000458494DOI Listing
September 2017
10 Reads

Viscocanalostomy and Canaloplasty: ab Externo Schlemm's Canal Surgery.

Dev Ophthalmol 2017 25;59:113-126. Epub 2017 Apr 25.

University Hospital Basel, Department of Ophthalmology, Basel, Switzerland.

Ab externo Schlemm's canal (SC) surgery (e.g., viscocanalostomy and canaloplasty) is a valuable alternative to glaucoma filtration surgery. Read More

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http://dx.doi.org/10.1159/000458491DOI Listing
September 2017
3 Reads

Ocular Surface and External Filtration Surgery: Mutual Relationships.

Dev Ophthalmol 2017 25;59:67-79. Epub 2017 Apr 25.

Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Sorbonne Universités, UPMC University Paris 06, INSERM, CNRS, Institut de la Vision, Paris, and University of Versailles, Saint-Quentin-en-Yvelines, France.

There is a large body of evidence from clinical and experimental studies indicating that the long-term use of topical drugs may induce ocular surface changes, causing ocular discomfort, dry eye, conjunctival inflammation, subconjunctival fibrosis, corneal surface impairment, and, as a consequence of chronic ocular surface changes, the potential risk of failure for further glaucoma surgery. Subclinical inflammation has also been widely described in patients receiving antiglaucoma treatments for long periods of time, with inflammatory cell infiltration and fibroblast activation in the conjunctiva and subconjunctival space. Preservatives, especially benzalkonium chloride, which has consistently demonstrated its toxic effects in laboratory, experimental, and clinical studies, could induce or enhance such inflammatory changes, and has been recently confirmed as a direct risk factor of surgical failure. Read More

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http://dx.doi.org/10.1159/000458487DOI Listing
September 2017
7 Reads

Postoperative Management of Penetrating and Nonpenetrating External Filtering Procedures.

Dev Ophthalmol 2017 25;59:53-66. Epub 2017 Apr 25.

Correct postoperative management is fundamental to prevent and treat complications and to optimize the success of filtering surgery. Timely control visits and appropriate actions and prescriptions ensure the best outcomes, allow recovery from a number of untoward events, and can reestablish filtration when failure seems imminent. In contrast, a slack follow-up and wrong interventions or prescriptions can lead to the failure of any surgery, no matter how accurately it was carried out, sometimes jeopardizing vision and even the anatomy of the globe. Read More

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http://dx.doi.org/10.1159/000458486DOI Listing
September 2017
3 Reads

Initial Trabeculectomy With Mitomycin-C for Secondary Glaucoma-associated With Uveitis in Behçet Disease Patients.

J Glaucoma 2017 Jul;26(7):603-607

*Department of Ophthalmology, University of Tokyo School of Medicine †Department of Ophthalmology, Japan Community Health Care Organization Tokyo Shinjuku Center, Tokyo, Japan.

Purpose: To examine clinical outcomes following an initial trabeculectomy with mitomycin-C for secondary glaucoma associated with uveitis in Behçet disease (BD) patients.

Design: Retrospective interventional case series.

Patients And Methods: Twenty-two eyes in 18 patients with uveitic glaucoma (UG) associated with Behçet disease who underwent an initial trabeculectomy with mitomycin-C between January 1996 and August 2014 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/IJG.0000000000000665DOI Listing
July 2017
26 Reads

High intensity focused ultrasound as first line treatment in patients with chronic angle closure glaucoma at risk for malignant glaucoma.

J Fr Ophtalmol 2017 Apr 23;40(4):264-269. Epub 2017 Mar 23.

Ophthalmology department, Institut du glaucome, university Paris-Descartes, centre hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 75674 Paris cedex 14, France.

Purpose: Evaluation of high intensity focused ultrasound (HIFU) transscleral cyclocoagulation as an alternative to trabeculectomy in the treatment of refractory chronic angle closure glaucoma (CACG).

Methods: This prospective one armed single center pilot study was conducted on patients with medically uncontrolled CACG who underwent high intensity focused ultrasound (HIFU) cyclocoagulation as first line surgical treatment, using the Eye-OP1 HIFU device (Eyetechcare-Rillieux-la-Pape, France) driven by ultrasound biomicroscopic (UBM) ciliary body localization. All patients had documented progression of their glaucoma despite conventional medical and laser therapy. Read More

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http://dx.doi.org/10.1016/j.jfo.2016.10.013DOI Listing
April 2017
16 Reads

Unusual Surprises in Glaucoma Filtering Surgeries: Lessons Learned and Review of Literature.

Semin Ophthalmol 2018 8;33(2):242-252. Epub 2016 Dec 8.

b Glaucoma Services, LV Prasad Eye Institute , Hyderabad , India.

Purpose: To describe an unusual series of complications after glaucoma filtering surgeries with their clinical findings and outcome after tailored non-conventional modes of therapy.

Patients And Methods: Eighteen patients who underwent re-interventions (medical or surgical) after glaucoma filtering surgeries during the period at two tertiary centers, excluding those that required conventional modes of treatment (medical control or re-trabeculectomy, simple wound closure for traumatic wound dehiscence, bleb revision or needling, laser iridotomy), were included. Relevant clinical details with intraoperative videos, intraoperative or postoperative problems, and images with course after re-intervention were retrieved from the hospital database. Read More

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http://dx.doi.org/10.1080/08820538.2016.1208766DOI Listing
April 2018
9 Reads

Ab Interno Trabeculectomy With the Trabectome as a Valuable Therapeutic Option for Failed Filtering Blebs.

J Glaucoma 2016 09;25(9):758-62

Eye Center, University of Freiburg, Freiburg, Germany.

Purpose: Uncontrolled intraocular pressure (IOP) after glaucoma filtration surgery is a challenging problem in the management of glaucoma patients. The Trabectome is a device for selective electroablation of the trabecular meshwork through a clear cornea incision without affecting the conjunctiva. Minimally invasive glaucoma surgery using the Trabectome is safe and effective as primary glaucoma surgery. Read More

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http://dx.doi.org/10.1097/IJG.0000000000000492DOI Listing
September 2016
13 Reads

Bleb Revision With Temporalis Fascia Autograft.

J Glaucoma 2017 Jan;26(1):e11-e14

*Quinze-Vingt National Ophthalmology Hospital, Department II of Pr Nordmann †Quinze-Vingt National Ophthalmology Hospital, Department IV of Pr Sael, Hospital 28, rue de Charenton, 75571 PARIS Cedex 12.

Purpose: We report the first description of temporalis fascia autograft to repair a late leakage bleb with scleral defect that occurred long time after trabeculectomy with mitomycin C.

Patient: A 65-year-old woman was referred to our hospital with chronic late bleb leakage on her right eye. She had previously undergone a trabeculectomy with mitomycin C 3 years ago for a pigmentary glaucoma. Read More

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http://dx.doi.org/10.1097/IJG.0000000000000486DOI Listing
January 2017
5 Reads

A New Method for Revision of Encapsulated Blebs after Trabeculectomy: Combination of Standard Bleb Needling with Transconjunctival Scleral Flap Sutures Prevents Early Postoperative Hypotony.

PLoS One 2016 17;11(6):e0157320. Epub 2016 Jun 17.

Department of Ophthalmology, University Medical Center, Johannes Gutenberg- University Mainz, Mainz, Germany.

Purpose: A simple needling procedure is the standard method for restoring the function of an encapsulated bleb after trabeculectomy. However, postoperative hypotony represents a possible hazard. This study describes a new surgical approach for treating encapsulated blebs with reduced risk of early postoperative hypotony: bleb needling combined with transconjunctival sutures tightening the scleral flap directly. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0157320PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912104PMC
July 2017
20 Reads

Management of Different Subtypes of Primary Angle Closure with Phacoemulsification and Viscogoniosynechialysis.

Semin Ophthalmol 2017 18;32(4):496-500. Epub 2016 May 18.

a Department of Ophthalmology , Shanghai Aier Eye Hospital , Shanghai , China.

Purpose: To retrospectively assess the effectiveness of combined phacoemulsification with viscogoniosynechialysis for patients with different subtypes of primary angle closure (PAC).

Methods: Forty-three eyes of 37 patients diagnosed with PAC (12 eyes), PAC with glaucoma (PACG, 20 eyes), and acute PAC (11 eyes) were treated with phacoemulsification and viscogoniosynechialysis between November 2010 and October 2012. Main outcome measures were anterior chamber depth (ACD), intraocular pressure (IOP), the number of IOP-lowering medication, extent of peripheral anterior synechia (PAS), and visual acuity preoperatively and one month postoperatively. Read More

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http://dx.doi.org/10.3109/08820538.2015.1123730DOI Listing
October 2017
4 Reads

Traitement des glaucomes. Diminuer la pression pour stabiliser la maladie et surveiller à vie.

Authors:
Elisa Bluwol

Rev Prat 2016 May;66(5):508-513

Institut du glaucome, hôpital Saint-Joseph, Paris, France.

Glaucomas treatment. Glaucoma is the first cause of blindness in Europe. The purposes of its treatment are lowering intraocular pressure (IOP), but also getting a good patient compliance with a good tolerance and a good ratio cost/effectiveness. Read More

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Lens Extraction for Management of Coexisting Cataract and Post-filtering Surgery Ocular Hypotony.

J Ophthalmic Vis Res 2015 Oct-Dec;10(4):385-90

Department of Ophthalmology, Glaucoma Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: To evaluate the safety and efficacy of phacoemulsification for management of post-filtering ocular hypotony.

Methods: This prospective interventional case series study recruited 21 consecutive patients with an established diagnosis of ocular hypotony with or without maculopathy. Clear corneal incision phacoemulsification was done for all patients. Read More

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http://dx.doi.org/10.4103/2008-322X.176908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795387PMC
April 2016
3 Reads

Incidence of and Risk Factors for Postoperative Glaucoma and Its Treatment in Paediatric Cataract Surgery.

Authors:
Asimina Mataftsi

Dev Ophthalmol 2016 1;57:40-8. Epub 2016 Apr 1.

2nd Department of Ophthalmology, Paediatric Ophthalmology and Strabismus, Medical School, Aristotle University of Thessaloniki, 'Papageorpiou' Hospital, Thessaloniki, Greece.

Postoperative glaucoma is perhaps the most feared complication after paediatric cataract surgery, as it is difficult to control. Paediatric glaucoma is also challenging to diagnose, and different definitions of glaucoma have led to a rather big range of reported incidences of this disease. It can occur soon after surgery, in which case it is usually closed-angle glaucoma, or it can have a late onset, even more than a decade after surgery, and its aetiopathogenesis remains unclear to this day. Read More

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http://dx.doi.org/10.1159/000442500DOI Listing
October 2016
2 Reads

The Results of the Use of Ahmed Valve in Refractory Glaucoma Surgery.

J Curr Glaucoma Pract 2015 Sep-Dec;9(3):86-91. Epub 2016 Feb 2.

Head, Department of Microsurgery II, Ufa Eye Research Institute Bashkortostan, Russian Federation, Russia.

The treatment of refractory glaucoma (RG) is challenging. The commonly adopted strategy in RG treatment is a glaucoma drainage device (GDD) implantation, which despite its radical nature may not always provide the desired intraocular pressure (IOP) levels for a long term. This review is based on the scientific literature on Ahmed glaucoma valve (AGV) implantation for refractory glaucoma. Read More

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http://dx.doi.org/10.5005/jp-journals-10008-1191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779947PMC
March 2016
5 Reads

Management of Primary Angle-Closure Glaucoma.

Asia Pac J Ophthalmol (Phila) 2016 Jan-Feb;5(1):59-62

From the Department of Ophthalmology, The University of Hong Kong, Hong Kong, China.

Primary angle-closure glaucoma (PACG) is a progressive optic nerve degeneration and is defined as a glaucomatous optic neuropathy with associated characteristic enlargement of optic disc cupping and visual field loss that is secondary to ocular hypertension caused by closure of the drainage angle. Angle closure is caused by appositional approximation or adhesion between the iris and the trabecular meshwork. The main treatment strategy for PACG lies in the reduction of intraocular pressure, reopening of the closed angle, and possible prevention of further angle closure. Read More

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http://dx.doi.org/10.1097/APO.0000000000000180DOI Listing
September 2016
4 Reads

Diagnosis and Management of Iridocorneal Endothelial Syndrome.

Biomed Res Int 2015 16;2015:763093. Epub 2015 Sep 16.

Cornea and Ocular Surface Unit, Ospedale San Raffaele IRCCS, Via Olgettina 60, 20132 Milan, Italy.

The iridocorneal endothelial (ICE) syndrome is a rare ocular disorder that includes a group of conditions characterized by structural and proliferative abnormalities of the corneal endothelium, the anterior chamber angle, and the iris. Common clinical features include corneal edema, secondary glaucoma, iris atrophy, and pupillary anomalies, ranging from distortion to polycoria. The main subtypes of this syndrome are the progressive iris atrophy, the Cogan-Reese syndrome, and the Chandler syndrome. Read More

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http://dx.doi.org/10.1155/2015/763093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588350PMC
July 2016
5 Reads

Trabeculectomy for normal tension glaucoma: outcomes using the Moorfields Safer Surgery technique.

Br J Ophthalmol 2016 Mar 21;100(3):332-8. Epub 2015 Jul 21.

Glaucoma Service, Moorfields Eye Hospital, London, UK.

Aims: To evaluate long-term outcomes and complications of trabeculectomy for normal tension glaucoma (NTG) with contemporary surgical techniques.

Methods: Retrospective consecutive, non-comparative case series of 131 eyes of 98 patients undergoing trabeculectomy between 2007 and 2013 in a dedicated NTG clinic. Data collected during routine clinical care were analysed. Read More

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http://dx.doi.org/10.1136/bjophthalmol-2015-306872DOI Listing
March 2016
22 Reads

"Dry Lake" technique for the treatment of hypertrophic bleb following XEN(®) Gel Stent placement.

Arch Soc Esp Oftalmol 2015 Nov 23;90(11):536-8. Epub 2015 May 23.

Instituto de Oftalmología Avanzada, Madrid, España.

Case Report: The case of a patient with previous uncomplicated XEN(®) drainage glaucoma surgery is described, who presented with hypertrophic bleb and mechanical ectropion. Treatment consisted of the «Dry Lake» procedure to drain the hypertrophic bleb following blockage with viscoelastic of the ab-interno stent and bleb sealing with a tissue adhesive.

Discussion: Proposals for the management of this type of bleb include therapeutic strategies, sutures or even autologous blood. Read More

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http://dx.doi.org/10.1016/j.oftal.2015.03.003DOI Listing
November 2015
3 Reads

Canaloplasty versus non-penetrating deep sclerectomy - a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up.

Graefes Arch Clin Exp Ophthalmol 2015 Apr 21;253(4):591-9. Epub 2015 Jan 21.

Department of Ophthalmology, Military Institute of Medicine, Szaserów 128 STR., 04-141, Warsaw, Poland,

Purpose: To compare outcomes of phaco-canaloplasty (PC) and phaco-non-penetrating deep sclerectomy (PDS) with a viscoelastic compound.

Methods: This study included 29 eyes after PC and 30 after PDS. Indications were uncontrolled primary open-angle glaucoma (POAG) and a cataract. Read More

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http://dx.doi.org/10.1007/s00417-015-2931-4DOI Listing
April 2015
2 Reads

[Trabeculectomy versus canaloplasty].

Authors:
J Matlach T Klink

Ophthalmologe 2015 Apr;112(4):325-31

NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, 162 City Road, EC1V 2PD, London, UK,

Background: Trabeculectomy provides an excellent reduction of intraocular pressure (IOP) and is the reference technique in the treatment of glaucoma patients. Canaloplasty is a relatively new surgical non-penetrating procedure for restoring the natural outflow pathway of aqueous humour. The aim of canaloplasty is to permanently distend the collapsed Schlemm's canal with the placement of a 360° intracanalicular tension suture. Read More

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http://dx.doi.org/10.1007/s00347-014-3160-7DOI Listing
April 2015
1 Read

Mechanism and management of angle closure in uveitis.

Curr Opin Ophthalmol 2015 Mar;26(2):121-7

aGlaucoma Service, Moorfields Eye Hospital, London, United Kingdom bDepartment of Ophthalmology, National University Health System cSingapore Eye Research Institute, Singapore dNational Institute for Health Research, Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital, London eDepartment of Epidemiology and Genetics, Institute of Ophthalmology, University College, London, United Kingdom.

Purpose Of Review: To summarize the multiple mechanisms responsible for angle closure in uveitis and to outline the management principles and treatment modalities.

Recent Findings: Angle closure in uveitis is a heterogeneous disease with multiple mechanisms. Recent advances in anterior segment imaging have provided insights into the mechanisms of angle closure in uveitis. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000136DOI Listing
March 2015
4 Reads

Management of hypotony after glaucoma filtering surgery.

Taiwan J Ophthalmol 2015 Jan-Mar;5(1):44-47. Epub 2014 Jul 26.

Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

A 39-year-old male with open angle glaucoma in both eyes visited our clinic. The intraocular pressure (IOP) of both eyes fluctuated between 15 mmHg and 25 mmHg. The best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/100 in the left eye. Read More

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http://dx.doi.org/10.1016/j.tjo.2014.05.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602724PMC
July 2014
1 Read

Conjunctival inclusion cyst following repair of tube erosion in a child with aphakic glaucoma, leading to endophthalmitis.

GMS Ophthalmol Cases 2015 22;5:Doc03. Epub 2015 May 22.

L V Prasad Eye Institute, Kallam Anji Reddy campus, Hyderabad, India.

Introduction: Glaucoma in aphakia is a major long term complication following congenital cataract surgery. Implantation of glaucoma drainage device provides an effective approach to manage refractory paediatric glaucoma. However implant surgery in young individuals is not free of complications. Read More

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http://dx.doi.org/10.3205/oc000025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015635PMC
September 2016
6 Reads

Perioperative pharmacological management in patients with glaucoma.

Arch Soc Esp Oftalmol 2015 Jun 18;90(6):274-84. Epub 2014 Nov 18.

Hospital General Universitario Gregorio Marañón, Madrid, España.

Unlabelled: REVIEẂS AIM: When a phacoemulsification, a filtration surgery or a combined surgery are necessary, questions about the convenience of continuing certain antiglaucomatous drugs could appear. The aim of this review article is to unify criteria that will guide daily clinical practice and including the developing algorithms of action in the preoperative and postoperative periods of filtration surgery and/or cataract surgery.

Proposed Protocols: In the preoperative period of cataract surgery, the use of non-steroidal anti-inflammatory drugs is at the discretion of the surgeon, with the monodose presentation being recommended. Read More

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http://dx.doi.org/10.1016/j.oftal.2014.06.003DOI Listing
June 2015
13 Reads

Minimally invasive glaucoma surgery: current implants and future innovations.

Can J Ophthalmol 2014 Dec;49(6):528-33

Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colo.. Electronic address:

Traditionally, invasive surgical management of glaucoma is recommended when medication and/or laser trabeculoplasty fail to control intraocular pressure (IOP). Filtering procedures, such as trabeculectomy and glaucoma drainage devices, are effective in lowering IOP, but they have significant associated adverse events and rates of failure. For these reasons, a new group of surgical procedures has emerged that seeks to decrease IOP with lower associated rates of complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00084182140031
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http://dx.doi.org/10.1016/j.jcjo.2014.09.002DOI Listing
December 2014
8 Reads

Visual outcome and incidence of glaucoma in patients with microspherophakia.

Eye (Lond) 2015 Mar 14;29(3):350-5. Epub 2014 Nov 14.

Department of Pediatric Ophthalmology, Aravind Eye Hospital, Madurai, India.

Introduction: A number of ocular complications have been reported in microspherophakia. The literature however is limited to small case reports and the incidence of these complications is largely unknown. Our study describes a series of patients who presented to our hospital from 1998 to 2008. Read More

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http://www.nature.com/articles/eye2014250
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http://dx.doi.org/10.1038/eye.2014.250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4366451PMC
March 2015
2 Reads

Corneal graft rejection 10 years after penetrating keratoplasty in the cornea donor study.

Cornea 2014 Oct;33(10):1003-9

*Michigan Cornea Consultants and Department of Ophthalmology, Oakland University/William Beaumont School of Medicine, Southfield-Rochester, MI; †Jaeb Center for Health Research, Tampa, FL; ‡Inland Eye Institute, Colton, CA; §Cincinnati Eye Institute and Department of Ophthalmology, University of Cincinnati, Cincinnati, OH; ¶Case Western Reserve University and University Hospitals Eye Institute, Cleveland, OH; ‖Eye Health Vision Center, Tufts University School of Medicine, Harvard Medical School, Boston, MA; **University of California Davis, Sacramento, CA; ††WK Kellogg Eye Center, the University of Michigan, Ann Arbor, MI; ‡‡Corneal Associates, PC, Wills Eye Hospital, Philadelphia, PA; and §§The Johns Hopkins University School of Medicine, Baltimore, MD.

Purpose: The aim of this study was to assess the effect of donor and recipient factors on corneal allograft rejection and evaluate whether a rejection event was associated with graft failure.

Methods: One thousand ninety subjects undergoing penetrating keratoplasty for a moderate risk condition (principally Fuchs dystrophy or pseudophakic corneal edema) were followed for up to 12 years. Associations of baseline recipient and donor factors with the occurrence of a rejection event were assessed in univariate and multivariate proportional hazards models. Read More

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http://pdfs.journals.lww.com/corneajrnl/2014/10000/Corneal_G
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/ICO.0000000000000212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653080PMC
October 2014
15 Reads

Childhood glaucoma surgery in the 21st century.

Eye (Lond) 2014 Aug 13;28(8):931-43. Epub 2014 Jun 13.

NIHR Biomedical Research Centre and Glaucoma Service, Moorfields Eye Hospital and UCL Institute of Ophthalmology, London, UK.

Most children with glaucoma will require surgery in their lifetime, often in their childhood years. The surgical management of childhood glaucoma is however challenging, largely because of its greater potential for failure and complications as compared with surgery in adults. The available surgical repertoire for childhood glaucoma has remained relatively unchanged for many years with most progress owing to modifications to existing surgery. Read More

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http://dx.doi.org/10.1038/eye.2014.140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4135261PMC
August 2014
3 Reads

Subconjunctival bevacizumab injection in glaucoma filtering surgery: a case control series.

ISRN Ophthalmol 2013 14;2013:384134. Epub 2013 Mar 14.

Department of Ophthalmology, Maisonneuve-Rosemont Hospital, 5415 Boulevard de l' Assomption, Montreal, QC, Canada H1T 2M4.

Aims. To describe the use of subconjunctival bevacizumab (SCB) injection in the combined cataract and glaucoma filtering surgery (GFS). Methods. Read More

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http://dx.doi.org/10.1155/2013/384134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3914244PMC
February 2014
2 Reads

New options for combined cataract and glaucoma surgery.

Curr Opin Ophthalmol 2014 Mar;25(2):141-7

aDepartment of Ophthalmology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina bBascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Purpose Of Review: To review the current literature regarding the effectiveness and risks of new surgeries that can be combined with phacoemulsification in the management of cataract and glaucoma.

Recent Findings: Surgical options for concurrently managing cataract and glaucoma have expanded in recent years. Endoscopic cyclophotocoagulation, trabecular micro-bypass stent, ab interno trabeculectomy, and canaloplasty may be performed in conjunction with cataract extraction to provide additional intraocular pressure (IOP) reduction. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000027DOI Listing
March 2014
5 Reads

In vivo confocal microscopy of the ocular surface: from bench to bedside.

Curr Eye Res 2014 Mar 11;39(3):213-31. Epub 2013 Nov 11.

Department of Clinical Sciences and Community Health, University of Milan , Milan , Italy .

In vivo confocal microscopy (IVCM) is an emerging technology that provides minimally invasive, high resolution, steady-state assessment of the ocular surface at the cellular level. Several challenges still remain but, at present, IVCM may be considered a promising technique for clinical diagnosis and management. This mini-review summarizes some key findings in IVCM of the ocular surface, focusing on recent and promising attempts to move "from bench to bedside". Read More

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http://bjo.bmj.com/content/early/2010/08/29/bjo.2010.187906.
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http://www.tandfonline.com/doi/full/10.3109/02713683.2013.84
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http://dx.doi.org/10.3109/02713683.2013.842592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3960287PMC
March 2014
14 Reads

Cataract Surgery in Eyes with Previous Glaucoma Surgery: Pearls and Pitfalls.

J Curr Glaucoma Pract 2013 Sep-Dec;7(3):99-105. Epub 2013 Sep 6.

Associate Consultant, Department of Ophthalmology, Hong Kong Eye Hospital Chinese University of Hong Kong, Hong Kong.

The problem of cataract management in the patients of glaucoma who have undergone fltering surgery is a challenging proposition for any surgeon, as the surgery can lead to several complications in the already compromised eye. As glaucoma requires lifelong management, the development of cataract is a significant concern because its treatment may lead to loss of intraocular pressure (IOP) control. This review aims to highlight the intra- and postoperative measures that may increase the chances of bleb survival following cataract surgery. Read More

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http://dx.doi.org/10.5005/jp-journals-10008-1145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4741148PMC
March 2016
2 Reads

Postoperative subconjunctival bevacizumab injection as an adjunct to 5-fluorouracil in the management of scarring after trabeculectomy.

Clin Ophthalmol 2013 20;7:1211-7. Epub 2013 Jun 20.

Department of Ophthalmology, Julius Maximilian University, Wuerzburg, Germany.

Purpose: Scarring after glaucoma filtering surgery remains the most frequent cause for bleb failure. The aim of this study was to assess if the postoperative injection of bevacizumab reduces the number of postoperative subconjunctival 5-fluorouracil (5-FU) injections. Further, the effect of bevacizumab as an adjunct to 5-FU on the intraocular pressure (IOP) outcome, bleb morphology, postoperative medications, and complications was evaluated. Read More

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http://dx.doi.org/10.2147/OPTH.S41750DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693864PMC
July 2013
15 Reads

Intraindividual comparison of Canaloplasty versus trabeculectomy with mitomycin C in a single-surgeon series.

J Glaucoma 2013 Sep;22(7):577-83

Department of Ophthalmology, University Medical Center Schleswig-Holstein, Campus Lübeck, University of Lübeck, Germany.

Purpose: To compare the safety, efficacy, and postoperative management of canaloplasty in one eye versus trabeculectomy with mitomycin C in the contralateral eye in patients with open-angle glaucoma.

Methods: This study was a consecutive case series of 30 eyes of 15 patients who had prior trabeculectomy with mitomycin C (group II) and later were treated with canaloplasty (group I) in the fellow eye. Primary outcome measures included intraocular pressure (IOP) and glaucoma medication after 6- and 12-month follow-up. Read More

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http://dx.doi.org/10.1097/IJG.0b013e318255bb30DOI Listing
September 2013
3 Reads

Hemorrhagic descemet detachment after combined canaloplasty and cataract surgery.

Cornea 2013 May;32(5):712-3

Department of Ophthalmology, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Québec, Canada.

Purposes: To describe a case of hemorrhagic Descemet membrane detachment following canaloplasty and to discuss its management using neodymium:yttrium-aluminum-garnet (Nd:YAG) laser Descemet membranotomy.

Methods: Interventional case report.

Results: A 71-year-old woman with chronic open-angle glaucoma developed a hemorrhagic Descemet detachment after combined phacoemulsification, intraocular lens insertion, and canaloplasty. Read More

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http://dx.doi.org/10.1097/ICO.0b013e318281af48DOI Listing
May 2013
3 Reads

The efficacy of viscocanalostomy for uncontrollable primary open-angle glaucoma in a developing country.

Indian J Ophthalmol 2013 Feb;61(2):71-3

Department of Ophthalmology, Islamic Azad University of Medicine, Mashhad Branch, Mashhad, Iran.

Purpose: To evaluate the safety and efficacy of viscocanalostomy in the management of medically uncontrollable primary open-angle glaucoma (POAG) in a developing country.

Materials And Methods: This is a prospective, non-randomized case series of 14 consecutive eyes with medically uncontrollable POAG, all subjected to viscocanalostomy. The main outcome measure was success rate based on the intraocular pressure (IOP) level achieved post-operatively. Read More

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http://dx.doi.org/10.4103/0301-4738.107196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638329PMC
February 2013
3 Reads

[Intracameral bevacizumab (Avastin®) in the management of neovascular glaucoma surgery].

Arch Soc Esp Oftalmol 2012 Dec 20;87(12):396-400. Epub 2012 Jul 20.

Servicio de Oftalmología, Hospital Universitario de Fuenlabrada, Madrid, España.

Purpose: To describe a case series of neovascular glaucoma treated with intracameral bevacizumab prior to filtering surgery.

Design: Descriptive, retrospective case series.

Methods: Five eyes of 5 patients with neovascular glaucoma due to any cause candidates to filtering surgery who had previously received an injection of intracameral bevacizumab (1. Read More

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http://dx.doi.org/10.1016/j.oftal.2011.09.025DOI Listing
December 2012
15 Reads