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Главная / Новости / Point/Counterpoint: Has a Replacement for Trabeculectomy Finally Arrived?
26 дней назад
28 марта 2017

Point/Counterpoint: Has a Replacement for Trabeculectomy Finally Arrived?

Оригинальный текст тут http://glaucomatoday.com/2017/02/point-counterpoint-has-a-replacement-for-trabeculectomy-finally-arrived/?utm_campaign=Enewsletters&utm_source=hs_email&utm_medium=email&utm_content=49313097&_hsenc=p2ANqtz-8eSMcc3Fc9fdzXlsVIhjTn9G1IuvfLmxlMy2QyM37M8usWtYGjgkDHtn3-YNaYfSqOpGKxzUk6jkBRqEP7SQ2XpuzEoA&_hsmi=49313097

 

Although most glaucoma subspecialists still consider trabeculectomy to be the gold standard in glaucoma surgery, nearly all of them have been searching for a safer, better, and more predictable method of creating a new outflow pathway in eyes with the disease. My surgical algorithm for glaucoma patients is first to try to open and exploit the eye’s inherent drainage system with an angle-based approach such as gonioscopy-assisted transluminal trabeculotomy, the Kahook Dual Blade (New World Medical), and the iStent Trabecular Micro-Bypass Shunt (Glaukos). When angle-based glaucoma surgery is not successful, then I need to create a new outflow system for the eye. Traditionally, this can only be accomplished by performing either a trabeculectomy or implanting a glaucoma drainage device, but both procedures are fraught with serious complications such as blebitis, tube erosion, double vision, and hypotony

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