Universität zu Köln

Widder, R. A. and Dietlein, T. S. (2016). Surgical options before and after trabectome surgery. Impact of previous surgeries, possibilities of revision surgery and complication management. Ophthalmologe, 113 (11). S. 914 - 918. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Trabectome surgery is a new method to lower intraocular pressure through ablation of the trabecular meshwork. Technically, it is an ab interno trabeculotomy. The goal of this review is to investigate the options after failed trabectome surgery and evaluate the possibilities of trabectome surgery after failed previous glaucoma surgery. A literature review was performed to answer the following questions: (1) Is trabectome surgery an option after failed glaucoma surgery? (2) Is trabeculectomy an option after failed trabectome surgery? (3) Which postoperative constellations require early revision surgery after trabectome surgery? Trabectome surgery is an option after failed trabeculectomy or failed tube surgery. Performing a trabeculectomy after failed trabectome surgery did not show disadvantages. Hypotony or hyphema is rare and self-limiting and, therefore, does not require further surgery. Due to a lack of randomized studies, recommendations should be taken with caution.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Widder, R. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dietlein, T. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-257956
DOI:	10.1007/s00347-016-0360-3
Journal or Publication Title:	Ophthalmologe
Volume:	113
Number:	11
Page Range:	S. 914 - 918
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSEUDOEXFOLIATION GLAUCOMA; LASER TRABECULOPLASTY; TRABECULAR ASPIRATION Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25795