By Francis Carbonaro, K. Sheng Lim
This well-illustrated ebook is meant because the go-to consultant for the id and administration of the issues linked to particular glaucoma approaches. the entire many times played methods are lined: filtration surgical procedure, together with trabeculectomy and convey shunt, nonpenetrating surgical procedures comparable to deep sclerectomy and canaloplasty, methods regarding the location of tube shunt units, glaucoma laser remedies, and minimally invasive glaucoma surgical procedures (MIGS). The publication is succinct yet sufficiently specified to supply the reader with a truly good knowledgeable description of attainable problems and tips on how to deal with them, according to the proof from contemporary and seminal study. The authors are well-known specialists who come from a large geographic and sundry glaucoma historical past. The booklet may be perfect for all surgeons, no matter if new or skilled, who search simply available, trustworthy suggestions on easy methods to deal with the intraoperative and early and overdue postoperative problems which can come up while acting glaucoma surgery.
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Additional info for Managing Complications in Glaucoma Surgery
In this series, no cases of complete blockage of the inlet by the iris were found. 3 Trabectome The Trabectome (NeoMedix, Tustin, USA) is designed to electrosurgically ablate the trabecular meshwork and inner wall of Schlemm’s canal. This enables aqueous to bypass the juxtacanalicular trabecular meshwork and inner wall of Schlemm’s canal, which is thought to be the main site of resistance in open-angle glaucoma (Overby et al. 2009). 1 Safety and Efficacy Results from the use of the Trabectome were first reported by Minckler et al.
In the published papers no relevant damage to the ciliary body has been reported. Early Postoperative Complications Early complications are mostly related to the surgical procedure. After uneventful surgery complications are infrequent but can include hyphema, iris damage or disinsertion, and endothelial damage. Choroid effusion or detachment is a potential risk in any anti-glaucoma surgical technique and more so in surgery that involves the suprachoroid space as an evacuation route for the aqueous humor.
3 Complications Intraoperative Complications Poor Visibility Excellent visibility of the area to be treated is key to the success of the procedure. The surgeon must use adequately high microscope magnification when introducing the footplate into Schlemm’s canal and when ablating tissue. Bubbles of air between the goniolens and the cornea are to be avoided through the use of sufficient coupling 2 Minimally Invasive Glaucoma Surgery 35 medium. However, care should be taken to avoid contaminating the top surface of the goniolens with the coupling medium, as this will reduce visibility.
Managing Complications in Glaucoma Surgery by Francis Carbonaro, K. Sheng Lim