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…
Summary Elevated IOP is a common occurrence following VR surgery and is more likely with increasing complexity of the repair such as with the use of silicone oil or intravitreal gas with pars plana vitrectomy. The cause of the intraocular…
Summary Implants have several characteristics that make them preferable to conventional filtering surgeries. Recognition of a safer long-term postoperative period has made glaucoma surgeons consider their use in more primary cases, with intact conjunctiva, especially in children and for combined…
Summary Glaucoma drainage devices (GDDs) are a very important and effective tool for glaucoma surgery, especially in complicated and secondary glaucoma. Complications are not uncommon and are varied in nature. The risk of many of the complications associated with the…
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Summary Alternate drainage implant devices not already discussed in the previous three chapters, some primarily of historical interest and others currently used in various parts of the world, are described in this chapter. Pearls for insertion of implants and on…