Trabeculectomy

Securing grafts without suturesGlaucoma drainage devices aid in controlling IOP by redirecting aqueous from the anterior chamber to an external reservoir to regulate flow. They are typically used for patients who have failed previous surgeries or who have a high likelihood of failing procedures, such as trabeculectomy. While effective, they are traditionally anchored through the use of sutures, which is both time-intensive and may cause complications.
Aqueous drainage tube provides trabeculectomy-like efficacyIn a study including 23 eyes with a transscleral micro-lumen aqueous drainage tube after failing maximum tolerated medication, reductions in the mean IOP were observed as well as in the mean number of medications per day.
How 24-hour IOP measurements vary with glaucoma treatmentClinicians should take into account the way IOP varies over the course of 24 hours depending on the glaucoma treatment used, according to the authors of a new literature review.
Minimally invasive glaucoma procedure replicates trabeculectomy efficacy with superior safety profileTwenty-two of 23 eyes with a trans-scleral micro-lumen aqueous drainage tube implanted after failing maximum tolerated medication were evaluable at 3 years.
Eyes with hypotony may fail less often after trabeculectomyEyes with hypotony after trabeculectomy might fare better than those without hypotony, a new study shows.
Graft failure: Techniques for best outcomes the second time aroundWhen a graft fails, surgeons have three factors to consider: the reason for the graft failure, the chances of success with a second surgery, and what has to be done differently to ensure the success of a new graft, said Francis Price Jr., MD.
Taking a closer look at low-tension glaucoma risk factors, treatment guidelinesA reasonable goal for patients with low-tension glaucoma patients is an IOP that’s 30% below the untreated baseline. However, some patients will continue to progress and may require single-digit target IOP goals.
MICS & MIGS: combined surgery with microstent devicesThe combination of MICS and MIGS can offer an effective surgical treatment for POAG when the reduction of IOP following cataract surgery alone is not sufficient to reduce a patient’s need for glaucoma therapies.
2015 brings big Medicare changes, small technology changes to glaucoma surgeryThe year 2015 brought a trickle of innovation to the technique of glaucoma surgery, and a tidal wave of change to the business model in the United States.
Glaucoma drainage devices: Location, location, locationWith glaucoma drainage devices gaining in popularity, the implantation technique must be tweaked to achieve the best results with the fewest complications.