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Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

Angle 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...
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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.
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Related Experiment Video

Updated: May 19, 2026

Iris Fixation via External Pentagram Suturing
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[Keratoplasty combined with cataract surgery].

M Muraine1, J Gueudry, A Retout

  • 1Service d'Ophtalmologie, Hôpital Charles-Nicolle, CHU de Rouen, 1, rue de-Germont, 76031 Rouen cedex, France. marc.muraine@chu-rouen.fr

Journal Francais D'Ophtalmologie
|August 28, 2012
PubMed
Summary

Combined cataract and corneal transplant surgery (triple procedure) offers rapid visual rehabilitation. Newer techniques like Descemet

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Cataract Surgery

Context:

  • Corneal diseases often necessitate keratoplasty (corneal transplant) and are frequently comorbid with cataracts, requiring combined surgical approaches.
  • Historically, simultaneous triple procedures (penetrating keratoplasty with cataract extraction and intraocular lens implantation) were preferred for faster visual recovery.
  • Modern surgical trends include non-simultaneous procedures and newer triple techniques, balancing refractive outcomes with visual rehabilitation.

Purpose:

  • To review the evolution and current practices of triple procedures in managing combined corneal pathologies and cataracts.
  • To compare the advantages and disadvantages of traditional versus newer triple surgical techniques, including Descemet's stripping automated keratoplasty combined with cataract surgery.
  • To highlight surgical considerations and potential refractive outcomes associated with these combined procedures.

Summary:

  • Traditional triple procedures involve penetrating keratoplasty and concurrent cataract extraction, aiming for rapid visual rehabilitation but posing surgical challenges due to anterior chamber pressure dynamics.
  • Non-simultaneous procedures, performing cataract surgery after corneal grafting, are favored by some for improved refractive error management.
  • Descemet's stripping automated keratoplasty combined with cataract surgery offers benefits such as quick visual recovery, reduced refractive errors, and preserved corneal integrity, particularly for Fuchs dystrophy.

Impact:

  • Newer triple procedures, especially Descemet's stripping automated keratoplasty with cataract surgery, provide enhanced visual rehabilitation and minimize refractive complications.
  • Surgeons must carefully consider potential postoperative hyperopic shifts when selecting intraocular lenses after these procedures.
  • These advancements improve patient outcomes and satisfaction in managing complex ophthalmic conditions.