Summary Viscocanalostomy is an effective surgery for lowering IOP in glaucomatous eyes. It has several advantages over trabeculectomy, such as lower complication rate, lower incidence of cataract, less risk of infection-related side effects, fewer refractive changes, significantly less eye discomfort,…
Summary Deep sclerectomy is a new nonpenetrating glaucoma surgery intended to lower the incidence of complications occurring after trabeculectomy. These complications essentially resulted from the early postoperative hypotony leading to a shallow anterior chamber, hyphema, choroidal hemorrhage and detachment, and…
Summary ▪ Nonpenetrating glaucoma surgeries include several different, but related, surgical techniques, including sinusotomy, ab externo or external trabeculectomy, deep sclerectomy with or without implants, and viscocanalostomy, all of which target the site of maximum outflow resistance. ▪ Aqueous egress…
Summary The Future: Total Scarring Control Significant advances have been made in developing new treatments and refining existing treatments for the prevention of scarring after disease, trauma, or surgical intervention. The advent of new technologies in addition to traditional chemical…
Summary Regulation of wound healing following GFS is a complex process and involves multiple growth factors, cytokines, and proteases, and the TGF-β and CTGF systems appear to play major roles in promoting scarring and contraction that result in bleb failure.…
[* Deceased. The editors and Elsevier note with sadness the untimely death of Francisco Fantes who co-authored the first edition of this chapter.] Summary Antifibrotic agents are extremely useful in lowering intraocular pressure in eyes unlikely to achieve success with…