Summary Lens extraction effectively reverses the anatomical predisposition to PACG, and reduces IOP and glaucoma drugs in PACG eyes. It may be performed alone, or in combination with other established IOP-lowering surgery in PACG eyes to achieve disease stabilization. Introduction…
Summary Cataract will be entwined in the evolving ocular history of the patient with open-angle glaucoma. There is increasing scrutiny of the role of cataract surgery in the management of glaucoma, especially the timing of intervention. In angle closure the…
Introduction A number of studies on nonpenetrating glaucoma surgery (NPGS) have been published in recent years. This is a fact to be celebrated, in view of the need for objective evaluations of these procedures in terms of efficacy, safety, and…
Summary The first few postoperative weeks are crucial for the success of NPGS, as in the case of any other glaucoma surgical procedure. Utmost care, therefore, must be taken to follow-up the patient regularly, in order to detect, manage and…
Summary As with any glaucoma surgery, patients should be told that unlike cataract surgery, nonpenetrating glaucoma surgery is neither a sight-improving operation nor is it a permanent cure for glaucoma. Follow-up continues to be essential. However, balance between safety and…
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.…