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Trabeculectomy is the most common invasive glaucoma surgery. It is highly effective in the treatment of advanced glaucoma as demonstrated in major glaucoma studies. [citation needed] Even if a prior trabeculectomy has failed a second trabeculectomy can be performed at a different site. If scarring is the main reason, anti-fibrotic and anti ...
Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of ...
[44] [45] The most common complication from Trabectome surgery is bleeding, which can blur vision and take extra time to recover. The surgery site can scar over time and the pressure can go back up. [15] In early 2014, the NeoMedix received a warning letter from the FDA regarding marketing practices. [46]
Trabeculoplasty is a laser treatment for glaucoma. It is done on an argon laser equipped slit lamp, using a Goldmann gonioscope lens mirror. Specifically, an argon laser is used to improve drainage through the eye's trabecular meshwork, from which the aqueous humour drains. This helps reduce intraocular pressure caused by open-angle glaucoma. [1]
A minority of patients may regain low or moderate visual acuity, but over 70% are left clinically blind with worse than 20/400 vision. [4] A Nigerian study showed other complications include secondary glaucoma, hyphaema, and optic atrophy. [5] Couching does not compare favourably to modern cataract surgery.
Procedure is similar to cataract surgery, most commonly followed by an intraocular lens implantation. In patients requiring only distance vision correction, a conventional mono-focal intraocular lens is placed in both eyes after the clear lens is removed. [1] While distance vision is fine in this, reading glasses are required for near vision. [1]