Antiglaukomatöse Filtrationschirurgie bei alten Glaukompatienten ab dem 80. Lebensjahr: Analyse der postoperativen Risiken

Dietlein, Thomas S.; Moalem, Y.; Lappas, Alexandra; Rosentreter, André

doi:10.1055/s-0034-1383143

Cited by 3 publications

(1 citation statement)

References 13 publications

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“… 53 However, this study only had a small number of cases that used subconjunctival LA, and this finding has not been replicated. Other studies have found no difference in outcome, when comparing subconjunctival LA and Ga 54 55 and subconjunctival vs Topical, 58 or subconjuctival vs retrobulbar (non-penetrating surgery). 56 A recent review article on ‘modern filtration surgery’ concluded that ‘subconjunctival anesthesia is safe’.…”

Section: Preoperative Preparation: Does the Patient Really Need A Tramentioning

confidence: 92%

Preoperative Preparation and Anesthesia for Trabeculectomy

Eke

2016

Journal of Current Glaucoma Practice

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Preoperative preparation should improve the likelihood of successful trabeculectomy surgery. The team can reconsider the appropriateness of the proposed surgery, and steps can be taken to maximize the chance of a good outcome. For example, adjustments to anti-hypertensive or anti-coagulant medications may be made, and topical ocular medications adjusted.Choice of anesthesia technique is of particular relevance to the trabeculectomy patient. Some anesthesia techniques are more likely to have serious complications, and glaucoma patients may be at higher risk of some sight-threatening complications, because the optic nerve is already damaged and vulnerable. Posterior placement of local anesthesia (retrobulbar, peribulbar, posterior sub-Tenon’s techniques) could potentially damage the optic nerve, and thereby cause “wipe-out” of vision. Anesthesia technique may influence the likelihood of vitreous bulge and surgical difficulty. Regarding long-term control of intraocular pressure, there is no good evidence to indicate that any particular anesthesia technique is better than another. There is little high-quality evidence on this topic. The author’s preferred technique for trabeculectomy is subconjunctival-intracameral anesthesia without sedation.How to cite this article: Eke T. Preoperative Preparation and Anesthesia for Trabeculectomy. J Curr Glaucoma Pract 2016; 10(1):21-35.

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Section: Preoperative Preparation: Does the Patient Really Need A Tramentioning

confidence: 92%

Preoperative Preparation and Anesthesia for Trabeculectomy

Eke

2016

Journal of Current Glaucoma Practice

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Viscotrabeculotomy versus trabeculectomy in the surgical treatment of open angle glaucoma: a single center, randomised controlled trial

et al. 2021

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Chirurgische Möglichkeiten der Glaukomtherapie

Dietlein

Rosentreter

2017

Klin Monatsbl Augenheilkd

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During the last few years, there has been a considerable capacity of innovations in glaucoma surgery owing to new micro-stents increasing the aqueous outflow via transscleral routes, via the trabecular meshwork or the suprachoroidal space. These interventions can be easily performed in combination with small-incision cataract surgery. Even the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly perceived as being outdated, re-achieve better reputation owing to refinements in surgical technique and improved surgical experience. Although enthusiasm is understandable, considering the technical advances, we must wait for clinical long-term results and compare the new procedures with the established ones.

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Antiglaukomatöse Filtrationschirurgie bei alten Glaukompatienten ab dem 80. Lebensjahr: Analyse der postoperativen Risiken

Abstract: The postoperative risks of antiglaucomatous filtering surgery did not increase with age or comorbidity. However, even minor perioperative complications had direct implications on the duration of the hospital stay.

Cited by 3 publications

References 13 publications

Preoperative Preparation and Anesthesia for Trabeculectomy

Preoperative Preparation and Anesthesia for Trabeculectomy

Viscotrabeculotomy versus trabeculectomy in the surgical treatment of open angle glaucoma: a single center, randomised controlled trial

Chirurgische Möglichkeiten der Glaukomtherapie

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