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Published on: February 15, 2022
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[Glaucoma surgeries: Long-term results - A review].
M Tatry1, P Bastelica2, E Brasnu3
1Service 3, IHU FOReSIGHT, hôpital national de la vision des 15-20, Paris, France.
Journal Francais D'Ophtalmologie
|August 29, 2024
Summary
This review examines long-term glaucoma surgery outcomes, focusing on filtering surgeries, cyclophotocoagulation, valves, and newer minimally invasive glaucoma surgeries (MIGS). It highlights the growing data on the sustainability of surgical treatments for this chronic optic neuropathy.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Innovation
Context:
- Glaucoma surgery has historically relied on filtering procedures.
- Established techniques include cyclophotocoagulation and tube shunts, primarily for refractory cases.
- Minimally invasive glaucoma surgeries (MIGS) represent a recent expansion of therapeutic options.
Purpose:
- To review the available literature on the long-term efficacy and safety of various glaucoma surgical procedures.
- To provide an updated overview of surgical interventions for glaucoma management.
- To inform patient-centered treatment decisions by assessing the sustainability of surgical outcomes.
Summary:
- Filtering surgeries have a well-documented safety and efficacy profile.
- Cyclophotocoagulation and tube shunts are mainly used for refractory glaucoma.
- MIGS have emerged as viable alternatives, with increasing long-term data becoming available.
Impact:
- This review synthesizes current knowledge on glaucoma surgery outcomes.
- It emphasizes the importance of long-term data for managing chronic glaucoma.
- The findings support evidence-based selection of surgical interventions for glaucoma patients.
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