Related Experiment Videos
[Intermediate-term outcome of glaucoma drainage devices]
C Merino-de-Palacios1, E Gutiérrez-Díaz, A Chacón-Garcés
1Servicio de Oftalmología, Hospital 12 de Octubre, Universidad Complutense, Madrid, España.
Archivos De La Sociedad Espanola De Oftalmologia
|January 12, 2008
Summary
Glaucoma drainage devices (DDG) offer effective intraocular pressure (IOP) control for complex cases. However, these devices carry risks of serious complications and vision loss, necessitating careful patient selection.
Area of Science:
- Ophthalmology
- Surgical Interventions
- Glaucoma Management
Context:
- Glaucoma drainage devices (DDG) are utilized when conventional glaucoma surgeries have a poor prognosis.
- Evaluating intermediate-term outcomes is crucial for understanding the efficacy and risks of DDG implantation.
Purpose:
- To assess the intermediate-term results of glaucoma drainage devices (DDG).
- To evaluate the control of intraocular pressure (IOP) and glaucoma progression.
- To determine the maintenance of pre-operative visual acuity after DDG implantation.
Summary:
- A retrospective cohort study analyzed 86 eyes (77 patients) with DDG implantation.
- Success was achieved in 61.6% of eyes; 39.5% achieved complete IOP control without treatment.
- Complications occurred in 23.2% of eyes, leading to vision loss in some cases, while glaucoma progression occurred in 8.1% despite IOP control.
Impact:
- DDG provide an effective surgical option for IOP control in challenging glaucoma cases.
- The study highlights a significant risk of serious complications and visual acuity loss associated with DDG.
- Findings underscore the need for careful consideration of risks versus benefits in DDG implantation.
Related Concept Videos
01:25Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
01:27Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...