The authors report the conclusions of their analysis of 308 operated eyes for primary open-angle glaucoma with Cairns trabeculectomy procedure. The analysed period is 1991-1995--and the patients have been operated in the Ophthalmology Clinic of the University Hospital of Bucharest. The work contains: 1) General epidemiologic characters: number of eyes, number of patients, sex, age. 2) The analysis of the surgical intervention's efficiency by the following parametres (TIO, visual acuity, field loss, fundus oculi changes) after 6 months, 12 months, 24 months ... to 5 years. 3) The repartition of the cases clinical forms of glaucoma: primary glaucoma, pigmentary glaucoma, myopic glaucoma > 6D, exfoliative glaucoma, glaucoma with normal pressure. 4) The efficiency of the trabeculectomy depending on the moment of the surgical intervention: first stadium, second stadium, advanced stadium. 5) The analysis of the risk factors: familial antecedents of glaucoma, hypertension, hypercholesterolemia, thrombosis of the central retinal vein, myopia > 6D. 6) The cataractogen effect of the trabeculectomy.
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Vestn Oftalmol
April 2018
I.M. Sechenov First Moscow State Medical University, Ophthalmology Department, 8-2 Trubetskaya St., Moscow, Russian Federation, 119991.
Over the years, glaucoma surgery has improved from iridectomy by A. Graefe and traumatizing procedures performed without magnification tools or microsurgical instrument to high-technology interventions that are not only microscopic, but also pathogenetically oriented. Various modifications of trabeculectomy, initially introduced by J.
View Article and Find Full Text PDFCurr Opin Ophthalmol
March 2012
Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.
Purpose Of Review: Trabeculectomy continues to be the most effective incisional surgery for uncontrolled glaucoma. Since its introduction by Cairns in 1968, the procedure has undergone numerous modifications. This article will summarize the current variations of glaucoma filtration surgery and evidence-based review of their potential advantages and disadvantages.
View Article and Find Full Text PDFSurv Ophthalmol
March 2012
Wills Eye Institute, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.
The original intent of glaucoma surgery was to allow aqueous humor to exit more easily either through the sclera or into the suprachoroidal space. The former came to be called, generically, a glaucoma filtering procedure. As this surgery evolved, some explored the concept of lowering pressure without producing a hole in the sclera, with its resultant "filtering bleb.
View Article and Find Full Text PDFGraefes Arch Clin Exp Ophthalmol
August 2008
Center of Ophthalmology, University of Cologne, Cologne, Germany.
Background: Combined phacoemulsification, intraocular lens implantation, and trabeculectomy (PTE) is currently the standard procedure for most ophthalmic surgeons to treat uncontrolled open-angle glaucoma and cataract at one time. This study was designed to prospectively compare a new technique of phaco-trabeculotomy plus deep sclerectomy (PDSTO) with standard phaco-trabeculectomy (PTE).
Methods: A consecutive series of 43 patients with uncontrolled open-angle glaucoma and cataract underwent combined glaucoma and cataract surgery.
J Fr Ophtalmol
January 2008
Cabinet d'Ophtalmologie, Le Havre.
Purpose: P. Khaw has described a new trabeculectomy technique to enhance the reliability (fewer complications) and the efficacy of the classic trabeculectomy introduced by Cairns. The purpose of this study was to assess the medium-term tonometric results and complications of this new surgical procedure.
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