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Surgical decision in glaucoma simplex.

Abstract

The indications for 220 trabeculectomies performed by six surgeons at three different centres were studied. 82% of the decisions to operate were based on a non-progressive but high risk situation. The 18% of cases showing preoperative deterioration were characterised by early presentation and low preoperative residual pressures. There was a distinct similarity in the incidence of individual indications at the different centres.

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BibTeXRIS

L Beck, D E Jones, A G Karseras. 1984. Surgical decision in glaucoma simplex.. https://doi.org/10.1136/bjo.68.10.732

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[Implant in Schlemm's canal. A new method for regulating intraocular pressure in patients with primary open-angle glaucoma?].

BACKGROUND: A surgical technique was developed using a Schlemm's canal implant to bypass the obstruction of outflow of the juxtacanalicular trabecular meshwork in patients with primary open-angle glaucoma. The implant device should also bridge healing processes after trabeculotomy and laser techniques. PATIENTS AND METHODS: An 8- to 15-mm-long silicone tube was implanted in each of two human autopsy eyes connecting the anterior chamber directly with Schlemm's canal. Serial sectioning was performed at two sections of 1-mm length. RESULTS: Implantation of the tube was technically uneventful. Histological examination showed no evidence of mechanical disruption of the endothelial lining of the inner wall of Schlemm's canal. CONCLUSION: These preliminary results demonstrate the possibility of shunting aqueous directly into Schlemm's canal using a silicone tube. A clinical study in a selected group of patients is planned.

Glaucoma, Open-Angle↗