Alicja Strzalkowska1, Thomas Dietlein2, Carl Erb3, Esther M Hoffmann4. 1. Augenklinik und Poliklinik, Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland. 2. Medizinische Fakultät und Uniklinik Köln, Zentrum für Augenheilkunde, Universität zu Köln, Köln, Deutschland. 3. Augenklinik Wittenbergplatz, Kleiststr. 23-26, 10787, Berlin, Deutschland. 4. Augenklinik und Poliklinik, Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland. ehoffman@uni-mainz.de.
Abstract
BACKGROUND: Trabeculectomy (TE) remains one of the most frequently performed glaucoma procedures. This surgery enables sufficient reduction of intraocular pressure (IOP) and freedom from using eye drops; however, complication management and time-consuming postoperative care make many ophthalmic surgeons reluctant to include TE in their treatment regimen. AIM: This review presents the value of TE compared to other forms of filtering and nonfiltering glaucoma surgery. CONCLUSION: The use of TE is still the most effective method for lowering IOP and in comparison to other forms of glaucoma surgery in most cases enables freedom from eye drops with a subsequent high quality of life. Postoperative complications occur more frequently, but usually heal spontaneously or can be treated adequately and safely by surgery; however, TE requires intensive postoperative care, which should not be neglected. Repeated surgery due to insufficient IOP reduction is less frequent compared to other forms of glaucoma surgery.
BACKGROUND: Trabeculectomy (TE) remains one of the most frequently performed glaucoma procedures. This surgery enables sufficient reduction of intraocular pressure (IOP) and freedom from using eye drops; however, complication management and time-consuming postoperative care make many ophthalmic surgeons reluctant to include TE in their treatment regimen. AIM: This review presents the value of TE compared to other forms of filtering and nonfiltering glaucoma surgery. CONCLUSION: The use of TE is still the most effective method for lowering IOP and in comparison to other forms of glaucoma surgery in most cases enables freedom from eye drops with a subsequent high quality of life. Postoperative complications occur more frequently, but usually heal spontaneously or can be treated adequately and safely by surgery; however, TE requires intensive postoperative care, which should not be neglected. Repeated surgery due to insufficient IOP reduction is less frequent compared to other forms of glaucoma surgery.
Authors: Thomas Klink; Johannes Sauer; Norbert J Körber; Franz Grehn; Martin M Much; Luisa Thederan; Juliane Matlach; Josefina Parente Salgado Journal: Clin Ophthalmol Date: 2014-12-18