Revision nach Filtrationschirurgie

Abstract

Reduzierung der Zahl der Revisionen durch VorbehandlungDie Vermeidung von Revisionen beginnt mit der Vorbereitung zur Operation. Jede lokale antiglaukomatöse Therapie führt zu einer chronischen Blepharokerato- Der Ophthalmologe 11 · 2016Hier steht eine Anzeige.

Comparing the efficacy of trabeculectomy and XEN gel microstent implantation for the treatment of primary open-angle glaucoma: a retrospective monocentric comparative cohort study

“…However, in this present study, hypotony had resolved through conservative management in all cases during the first postoperative month without further sequelae. It has been argued before that postoperative hypotony by increased outflow of aqueous humor may even trigger a pronounced conjunctival fibrosis and therefore increase the rate of needling procedures 31,32 .…”

“…In our two groups of eyes treated with either TET or XEN microstent implantation we found almost twice as many postsurgical complications in the TET group requiring more surgical attention than eyes in the XEN group. However, when appropriately treated occurring complications should be no hindrance in turning the final outcomes into an overall and long-lasting clinical success 32 . Nevertheless, invasive surgery puts additional burden on patients and therefore less invasive techniques are sought for 42,43 .…”

“…It is known that TET is accompanied by a certain risk for postsurgical complications and therefore requires intensive postsurgical care 32 , 40 , 41 . According to Jünemann et al the increased outflow of aqueous humor after TET leads to an increased conjunctival fibrosis and may lead to maculopathy, choroidal effusion, and suprachoroidal hemorrhage in hypotonic states 32 . In our two groups of eyes treated with either TET or XEN microstent implantation we found almost twice as many postsurgical complications in the TET group requiring more surgical attention than eyes in the XEN group.…”

Trabekulektomie mit Mitomycin C und Ologen®-Implantat im Vergleich zur klassischen Trabekulektomie

“…Die Vernarbungsprozesse können durch intra-und postoperative Verfahren reguliert werden, um langfristige Drucksenkungen zu erzielen [10]. Die Evaluation von Methoden zur Modulation der Wundheilung ist aus diesem Grund ein Hauptforschungsziel der Glaukomchirurgie [6,14,15].…”