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Related Experiment Videos

Glaucoma implants. Their use in difficult cases of glaucoma.

R S Bartholomew

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1978
    PubMed
    Summary

    Glaucoma implants combined with fibrosis suppression effectively controlled intraocular pressure in most patients. This treatment shows promise for complex glaucoma cases, including those with prior surgeries or specific ocular conditions.

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    Area of Science:

    • Ophthalmology
    • Glaucoma Research
    • Surgical Implants

    Background:

    • Glaucoma management often requires surgical intervention.
    • Fibrosis can complicate glaucoma surgery outcomes.
    • Alternative treatment strategies are needed for refractory glaucoma.

    Purpose of the Study:

    • To evaluate the efficacy of glaucoma implants with fibrosis suppression.
    • To assess intraocular pressure control in patients with various glaucoma types.
    • To determine the safety and indications for this combined approach.

    Main Methods:

    • Ten patients with different glaucoma types received implants.
    • A fibrosis suppression regimen included prednisolone and fluphenamic acid for 6-8 weeks.
    • Intraocular pressure was monitored using applanation tonometry (AT).

    Main Results:

    • Seven out of ten patients achieved controlled intraocular pressure (AT < 21 mm Hg).
    • One implant was removed due to conjunctival and scleral erosion.
    • No other significant complications were reported.

    Conclusions:

    • Glaucoma implants with fibrosis suppression can effectively control intraocular pressure.
    • This approach is indicated for complex glaucoma cases, including post-surgical or those with specific ocular comorbidities.
    • The implant shows a favorable safety profile with careful patient selection.

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