Minimalinvasive Kammerwinkelchirurgie mit dem Trabektom

Wecker, Thomas; Jordan, Jens

doi:10.1055/s-0034-1383014

Cited by 4 publications

(1 citation statement)

References 32 publications

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“…Ein anderer qualitativer Nachweis war beim gleichen Trabektomverfahren die Beobachtung von Refluxblutungen unmittelbar nach Entfernung des Trabekelmaschenwerks. Dies bestätigte ebenfalls ein intaktes distales Abflusssystem durch eine retrograde Blutfüllung über die episkleralen Venen [37].…”

Section: Gonioskopie Und Andere Verfahren Zur Beurteilung Der Abflussunclassified

Bedeutung der intraoperativen indirekten Kanalografie bei der Glaukomstentimplantation

Wirbelauer¹,

Mertens²

2017

Klin Monatsbl Augenheilkd

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Several glaucoma stents are available to surgically reduce the intraocular pressure in primary open-angle glaucoma (POAG). In comparison to conjunctival opening procedures, the advantages of microinvasive glaucoma surgery (MIGS) are relatively atraumatic ab-interno procedures through a paracentesis, conjunctival sparing for later filtrating surgery, and possible combined cataract surgery. In this overview, the principle of intraoperative indirect channelography as a decision criterion for the individual selection of glaucoma stent implantation is presented. Through a paracentesis a slight hypotony was induced and retrograde blood filling of Schlemm's canal was observed gonioscopically. Good blood filling was an indicator for an intact drainage system through the collector channels and the episcleral veins. In these patients a trabecular bypass stent system can be placed in Schlemm's canal of the anterior chamber angle to improve drainage of aqueous humour and reduce the intraocular pressure (IOP). In patients with a negative intraoperative indirect channelography, which can be recognized through an absent or insufficient retrograde blood filling of Schlemm's canal, an alternative drainage path should be considered by using supraciliary or subconjunctival glaucoma stents. A significant mean IOP reduction of 17 to 36% can be achieved with a reduction of local glaucoma therapy. Relevant complications with choroidal detachment and decreased visual acuity due to postoperative hypotony are rare.

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Section: Gonioskopie Und Andere Verfahren Zur Beurteilung Der Abflussunclassified

Bedeutung der intraoperativen indirekten Kanalografie bei der Glaukomstentimplantation

Wirbelauer¹,

Mertens²

2017

Klin Monatsbl Augenheilkd

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Long-term follow-up of intraocular pressure and pressure-lowering medication in patients after ab-interno trabeculectomy with the Trabectome

Avar

Jordan²,

Neuburger

et al. 2019

Graefes Arch Clin Exp Ophthalmol

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Half Minimally Invasive Strabismus Surgery (MISS): A single para-muscular approach to horizontal muscle strabismus surgery

Parveen

Kauser

Amitava

et al. 2022

Indian Journal of Ophthalmology

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Purpose: Minimally invasive surgeries are gaining popularity. We compared two different approaches to rectus muscles: namely the standard para limbal (SPL) and the single para-muscular (SPM). Methods: Thirty-six patients planned for monocular horizontal strabismus surgery were block randomized to SPL and SPM approach. SPM approach involved a single para-muscular 10-mm conjunctival incision levelled at the inferior border of rectus muscle. We compared the post-operative grades of redness, congestion, chemosis, foreign body sensation, and drop intolerance at day 1, 2 weeks, and 6–8 weeks; scar visibility and success rates at 6–8 weeks and operation duration in minutes. We compared the results using Mann–Whitney U-test for inflammatory grades, Fisher’s exact test for proportions, and t-test for parametric measures. Significance was set at P < 0.05. Results: On postoperative follow-up at any time point, no significant difference was found on comparing inflammatory grades, scar visibility, and success rates. In terms of duration, SPL approach was on an average 21.5 minutes quicker than SPM (P = <0.001). Conclusion: The SPM is comparable to the SPL approach in terms of postoperative comfort and appearance, but takes significantly longer to accomplish.

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Minimalinvasive Kammerwinkelchirurgie mit dem Trabektom

Cited by 4 publications

References 32 publications

Bedeutung der intraoperativen indirekten Kanalografie bei der Glaukomstentimplantation

Bedeutung der intraoperativen indirekten Kanalografie bei der Glaukomstentimplantation

Long-term follow-up of intraocular pressure and pressure-lowering medication in patients after ab-interno trabeculectomy with the Trabectome

Half Minimally Invasive Strabismus Surgery (MISS): A single para-muscular approach to horizontal muscle strabismus surgery

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