Summary There has been, in recent years, a considerable surge in interest in glaucoma surgery; techniques, devices, (implants), and procedures to warrant earnest attention and research. Several new devices (and implants) are currently being evaluated in clinical trials, all of…
Summary Canaloplasty provides a surgical means of safely lowering intraocular pressure in patients with open angles without depending on the function of a bleb or external drainage device. Working in the canal space provides a means of achieving moderate IOP…
* Deceased. The editors and Elsevier note with sadness the untimely death of Elie Dahan who co-authored the first edition of this chapter. Summary The Ex-PRESS™ glaucoma implant is a miniature stainless steel device that offers a simple and safe…
Summary The Trabectome procedure represents a minimally invasive trabecular bypass procedure with several years clinical experience. It has proven to be a safe surgical intervention with very low complication rates, but is paired with modest IOP lowering and is best…
Summary ▪ Cycloablation is an effective technique for controlling intraocular pressure in various forms of glaucoma. ▪ Transscleral diode laser cycloablation may lead to serious side effects that must be recognized by the treating physician. ▪ Transscleral cycloablation may be…
Summary In summary, ECP should not be considered the same as transscleral forms of cycloablation, which are ‘blind’ procedures that can cause much collateral tissue damage and which can result in overtreatment or undertreatment of the tips of the ciliary…
Summary Cyclodestructive techniques have evolved over the last century and the currently available techniques provide an alternative surgical treatment for those with medically uncontrolled glaucoma or in those with high risk of failure of glaucoma drainage surgery. Both Nd : YAG and…
Summary Table 121-1 compares the success rates and different features of interventions for refractory pediatric glaucoma. To date, no treatment has shown reliable IOP lowering over long periods of follow-up in all patients. In selecting a treatment, the practitioner must…
Summary Goniotomy Goniotomy was the first of the angle surgery procedures to be introduced for the treatment for pediatric glaucoma with remarkable results. Where corneal clarity allows, it least affects overall integrity of the eye while directly addressing the site…
Summary Aqueous shunts have been effectively employed to control IOP before, during, and after corneal transplantation. The special issues related to aqueous shunts in association with corneal grafts include the concern that host immune surveillance and graft rejection may be…