Trabeculectomy
Glaucoma
Mitomycin
Glaucoma, Open-Angle
Glaucoma Drainage Implants
Ocular Hypotension
Filtering Surgery
Trabecular Meshwork
Antimetabolites
Sclera
Conjunctiva
Phacoemulsification
Visual Acuity
Glaucoma, Angle-Closure
Postoperative Complications
Tonometry, Ocular
Glaucoma, Neovascular
Anterior Chamber
Iris
Microscopy, Acoustic
Surgical Flaps
Alkylating Agents
Sclerostomy
Cataract
Gonioscopy
Iritis
Ophthalmic Solutions
Suture Techniques
Molteno Implants
Conjunctival Diseases
Intraoperative Care
Postoperative Care
Eye Injuries
Treatment Outcome
Follow-Up Studies
Surgically-Created Structures
Eye Infections
Fluorouracil
Retrospective Studies
Blepharoptosis
Choroid Diseases
Surgical Sponges
Miotics
Prospective Studies
Visual Fields
Antibiotics, Antineoplastic
Endophthalmitis
Laser Therapy
Optic Disk
Lens Implantation, Intraocular
Aqueous Humor
Sphygmomanometers
Management of phacolytic glaucoma: experience of 135 cases. (1/355)
We retrospectively analyzed 135 eyes with phacolytic glaucoma. A trabeculectomy was added to standard cataract surgery if symptoms endured for more than seven days, or if preoperative control of intraocular pressure (IOP) with maximal medical treatment was inadequate. In the early postoperative period, IOP was significantly lower in the combined surgery group (89 eyes) compared to the cataract surgery group (46 eyes) (p < 0.001). At 6 months there was no difference in IOP or visual acuity between the two groups. There were no serious complications related to trabeculectomy. It is reasonable to conclude that in eyes with a long duration of phacolytic glaucoma, addition of a trabeculectomy to cataract surgery is safe, prevents postoperative rise in intraocular pressure and decreases the need for systemic hypotensive medications. A randomized trial is on to further address this question. (+info)Immediate intraocular pressure response to selective laser trabeculoplasty. (2/355)
BACKGROUND/AIMS: Selective laser trabeculoplasty targets the pigmented trabecular meshwork cells without damage to the trabecular meshwork architecture in vitro. A study was conducted in vivo of eight eyes with uncontrolled open angle glaucoma to ascertain the immediate intraocular response to selective laser trabeculoplasty. METHODS: The trabecular meshwork of each eye was treated 360 degrees with a frequency doubled Q-switched Nd:YAG laser. Intraocular pressure was measured 1, 2, 24 hours and 1, 4, 6 weeks after treatment. RESULTS: The average preoperative intraocular pressure was 26.6 (SD 7) mm Hg (range 18-37). Two hours and 6 weeks respectively after selective trabeculoplasty intraocular pressure was reduced in all the eyes treated with an average fall of 10.6 (5.2) mm Hg or 39.9%. A pressure spike of 10 mm Hg verified in one eye 1 hour after treatment. CONCLUSIONS: Selective laser trabeculoplasty decreased intraocular pressure by an amount similar to that achieved with standard trabeculoplasty. Additional study is needed to determine whether the beneficial effect is sustained over a longer period of follow up. (+info)Selective laser trabeculoplasty v argon laser trabeculoplasty: a prospective randomised clinical trial. (3/355)
AIMS: To compare the effectiveness of selective laser trabeculoplasty (SLT, a 532 nm Nd:YAG laser) with argon laser trabeculoplasty (ALT) in lowering the intraocular pressure (IOP) in patients with medically uncontrolled open angle glaucoma. METHODS: A prospective randomised clinical trial was designed. Patients were randomised to treatment with either SLT or ALT and were evaluated at 1 hour, 1 week, 1, 3, and 6 months post-laser. RESULTS: There were 18 eyes in each group. Baseline characteristics were similar in both groups. In the SLT group the mean IOP at baseline, 1, 3, and 6 months was 22.8 (SD 3.0), 20.1 (4.6), 19.3 (6.0), and 17.8 (4.8) mm Hg, respectively. In the ALT group, the mean IOP at baseline, 1, 3, and 6 months was 22.5 (3.6), 19.5 (4.7), 19.6 (5.6), and 17.7 (3.3) mm Hg, respectively. There was a greater anterior chamber reaction, 1 hour after SLT v ALT (p< 0.01). Patients with previous failed ALT had a better reduction in IOP with SLT than with repeat ALT (6.8 (2. 4) v 3.6 (1.8) mm Hg; p = 0.01). CONCLUSION: SLT appears to be equivalent to ALT in lowering IOP during the first 6 months after treatment. There is a slightly greater anterior chamber reaction 1 hour after SLT. Patients with previous failed ALT had a significantly greater drop in IOP when treated with SLT v ALT. These results need to be confirmed with a larger sample size. (+info)Cataract extraction and lens implantation with and without trabeculectomy: an intrapatient comparison. (4/355)
OBJECTIVE: To determine whether cataract extraction and lens implantation combined with trabeculectomy provides better long-term results than cataract extraction and lens implantation alone in a group of patients with primary open-angle glaucoma and cataract randomly selected to receive surgery with trabeculectomy in one eye and without in the other. METHODS: A prospective, randomized clinical trial involving 35 patients with bilateral symmetric primary open-angle glaucoma and visually disabling cataracts with procedures performed by a single surgeon in a private practice setting with follow-up for more than 5 years in all cases. RESULTS: After an average of 87 months of follow-up, cataract extraction and lens implantation reduced intraocular pressure 4.4 mm Hg, reduced number of medications by 1.28, increased diopter vector of astigmatism by 1.49, and was associated with visual field loss in 6 of 35 eyes. After an average of 80 months of follow-up, cataract extraction, lens implantation, and trabeculectomy reduced intraocular pressure 8.2 mm Hg, reduced number of medications by 1.76, increased diopter vector of astigmatism by 1.14, and was associated with visual field loss in 1 eye. Both groups had similar improvement in visual acuity and perioperative complications. CONCLUSIONS: Extracapsular cataract extraction, lens implantation, and trabeculectomy is a complex procedure that was beneficial in the long-term control of intraocular pressure and in prevention of visual field loss. This procedure should be considered in patients who may not be able to comply with a complex medical regimen, in whom pressure elevation in the immediate postoperative period would be undesirable, or in whom long-term pressure control at a lower level would be beneficial in preventing further optic nerve damage. (+info)Age over 46 years does not affect the pressure lowering effect of trabeculectomy in primary open angle glaucoma. (5/355)
BACKGROUND/AIMS: Previous reports have suggested that the success rate for trabeculectomy is poorer in younger age groups but these studies often have heterogeneous groups representing different types of glaucoma with variable surgical prognosis. Therefore, the relation between age and the success of trabeculectomy in the single diagnostic category of primary open angle glaucoma (POAG) without identifiable risk factors was examined for failure in the age range 46-85 years. METHODS: The records of 208 patients who had undergone a first trabeculectomy for POAG were examined retrospectively. Age ranged from 46 to 85 (mean 66.7 years). The outcome of surgery was examined at final available follow up and at 1 and 2 years after surgery. Trabeculectomy was considered a success if intraocular pressure was < or = 21 mm Hg with or without additional medical treatment ("cumulative" success) and an "absolute" success if intraocular pressure was < = 21 mm Hg without additional medical treatment. RESULTS: Cumulative success for trabeculectomy was 92.3% at final follow up and 96.6% at 2 year follow up; absolute success rate was 66.3% at final follow up and 71.6% at 2 years. There was no significant trend for greater success of trabeculectomy in the older age groups (cumulative success at 2 year follow up, chi 2 for linear trend 1.07 (p = 0.3) nor was the drop in intraocular pressure following surgery significantly greater with increasing age (analysis of variance for intraocular pressure lowering from presentation to 2 years' follow up (Kruskal-Wallis, t = 5.9, p = 0.55). Patients with pseudoexfoliation were excluded from the main analysis as these patients have been shown to have a lower final intraocular pressure following trabeculectomy, a finding which was confirmed in this study. (+info)Course of exfoliation and simplex glaucoma after primary trabeculectomy. (6/355)
AIM: To study the course of exfoliation and simplex glaucoma with respect to intraocular pressure (IOP) regulation and visual field survival after primary trabeculectomy. METHODS: Postoperative IOP regulation and complications were analysed prospectively in 95 patients. Mean follow up was 46 months. Visual field survival was studied by high pass resolution perimetry (HRP) in a subsample of 28 patients. RESULTS: Medical treatment was reinstated in 42% of exfoliation and in 36% of simplex glaucoma. In these patients, mean medicine free survival time, last untreated IOP, and mean IOP at the end of follow up were similar for both glaucoma types. Among patients with controlled postoperative IOP without added medication, mean IOP at the end of follow up was significantly lower in exfoliation glaucoma. Visual field deterioration and the pattern of complications were similar for both glaucoma types. CONCLUSION: The effect of trabeculectomy on IOP regulation was good in both types of glaucoma, and somewhat better in exfoliation glaucoma. The magnitude of IOP lowering could not separate patients with continued visual field deterioration from those in whom visual fields remained stable. Visual field preservation was similar for both glaucoma types. (+info)Prognosis of primary ab externo surgery for primary congenital glaucoma. (7/355)
BACKGROUND: The strategy of pressure reducing surgery in primary congenital glaucoma has changed over the last decade. Ab externo filtering procedures--for example, trabeculectomy or trabeculotomy combined with trabeculectomy, have now been accepted even as primary intervention. METHODS: The authors reviewed 61 eyes in 35 consecutive patients with primary congenital glaucoma, who underwent different types of initial ab externo surgery between 1988 and 1996 (median follow up 36 months) to determine the efficacy of different surgical techniques and the influence of various risk factors. RESULTS: Trabeculotomy was performed in 17 eyes (27.9%), trabeculotomy with trabeculectomy in 15 eyes (24.6%), and trabeculectomy in 29 eyes (47.5%). Regarding age, preoperative intraocular pressure, corneal diameter, ocular axial length, and incidence of corneal haze the subgroups were comparable. Success rates of trabeculotomy, trabeculectomy, and a combined procedure did not significantly differ when assessed by life table analysis. Patient age under 3 months (p = 0.014) and an ocular axial length of 24 mm or more (p = 0.016) proved to be major risk factors for primary ab externo surgery failure. A second operation was necessary in 20 of 61 eyes (32.8%) during follow up. CONCLUSION: Prognosis of primary ab externo glaucoma surgery in primary congenital glaucoma seems to be governed more by the individual course and severity of the disease than by modification of surgical techniques. (+info)Topographic and keratometric astigmatism up to 1 year following small flap trabeculectomy (microtrabeculectomy). (8/355)
AIM: To determine the induced corneal astigmatism by measuring the changes in manual keratometry and computerised corneal videokeratoscopy up to 1 year following small flap trabeculectomy (microtrabeculectomy). METHOD: A prospective study of a case series of small flap trabeculectomy procedures performed at the 90 degree meridian on 16 eyes of 16 patients, all followed to 1 year postoperatively. Changes in manual keratometry and computerised videokeratoscopy (Eyesys) readings were analysed by vector analysis and vector decomposition techniques. RESULTS: By vector analysis, the mean surgically induced refractive change (SIRC) cylinder power vectors induced at 1, 3, 6, and 12 months as measured by manual keratometry were 0.68, 0.38, 0.52, and 0.55 dioptres, and by keratography 0.75, 0.66, 0.59, and 0.64 dioptres. Vector decomposition on the induced vector cylinders on manual keratometry resulted in a "with the rule" mean vector of 0.52 and 0.22 dioptres at 1 and 3 months and an "against the rule" mean vector of 0.16 and 0.16 dioptres at the same time points (p=0.03 and 0.28 respectively). Vector decomposition at 6 and 12 months revealed no significant with the rule changes induced. Similar analysis on the videokeratoscopy results revealed significant induced with the rule astigmatism until 3 months, but not at 6 and 12 months postoperatively. CONCLUSION: Small flap trabeculectomy (microtrabeculectomy) produces smaller changes in corneal curvature that resolve sooner than previous reports of larger flap techniques. (+info)A trabeculectomy is a surgical procedure performed on the eye to treat glaucoma, an eye condition characterized by increased pressure within the eye that can lead to optic nerve damage and vision loss. The main goal of this operation is to create a new channel for the aqueous humor (the clear fluid inside the eye) to drain out, thus reducing the intraocular pressure (IOP).
During the trabeculectomy procedure, a small flap is made in the sclera (the white part of the eye), and a piece of the trabecular meshwork (a structure inside the eye that helps regulate the flow of aqueous humor) is removed. This opening allows the aqueous humor to bypass the obstructed drainage system and form a bleb, a small blister-like sac on the surface of the eye, which absorbs the fluid and reduces IOP.
The success of trabeculectomy depends on various factors, including the patient's age, type and severity of glaucoma, previous treatments, and overall health. Potential complications may include infection, bleeding, cataract formation, hypotony (abnormally low IOP), or failure to control IOP. Regular follow-up appointments with an ophthalmologist are necessary to monitor the eye's response to the surgery and manage any potential issues that may arise.
Glaucoma is a group of eye conditions that damage the optic nerve, often caused by an abnormally high pressure in the eye (intraocular pressure). This damage can lead to permanent vision loss or even blindness if left untreated. The most common type is open-angle glaucoma, which has no warning signs and progresses slowly. Angle-closure glaucoma, on the other hand, can cause sudden eye pain, redness, nausea, and vomiting, as well as rapid vision loss. Other less common types of glaucoma also exist. While there is no cure for glaucoma, early detection and treatment can help slow or prevent further vision loss.
Intraocular pressure (IOP) is the fluid pressure within the eye, specifically within the anterior chamber, which is the space between the cornea and the iris. It is measured in millimeters of mercury (mmHg). The aqueous humor, a clear fluid that fills the anterior chamber, is constantly produced and drained, maintaining a balance that determines the IOP. Normal IOP ranges from 10-21 mmHg, with average values around 15-16 mmHg. Elevated IOP is a key risk factor for glaucoma, a group of eye conditions that can lead to optic nerve damage and vision loss if not treated promptly and effectively. Regular monitoring of IOP is essential in diagnosing and managing glaucoma and other ocular health issues.
Mitomycin is an antineoplastic antibiotic derived from Streptomyces caespitosus. It is primarily used in cancer chemotherapy, particularly in the treatment of various carcinomas including gastrointestinal tract malignancies and breast cancer. Mitomycin works by forming cross-links in DNA, thereby inhibiting its replication and transcription, which ultimately leads to cell death.
In addition to its systemic use, mitomycin is also used topically in ophthalmology for the treatment of certain eye conditions such as glaucoma and various ocular surface disorders. The topical application of mitomycin can help reduce scarring and fibrosis by inhibiting the proliferation of fibroblasts.
It's important to note that mitomycin has a narrow therapeutic index, meaning there is only a small range between an effective dose and a toxic one. Therefore, its use should be closely monitored to minimize side effects, which can include myelosuppression, mucositis, alopecia, and potential secondary malignancies.
Hyphema is defined as the presence of blood in the anterior chamber of the eye, which is the space between the cornea and the iris. This condition usually results from trauma or injury to the eye, but it can also occur due to various medical conditions such as severe eye inflammation, retinal surgery, or blood disorders that affect clotting.
The blood in the anterior chamber can vary in amount, ranging from a few drops to a complete fill, which is called an "eight-ball hyphema." Hyphema can be painful and cause sensitivity to light (photophobia), blurred vision, or even loss of vision if not treated promptly.
Immediate medical attention is necessary for hyphema to prevent complications such as increased intraocular pressure, corneal blood staining, glaucoma, or cataracts. Treatment options may include bed rest, eye drops to reduce inflammation and control intraocular pressure, and sometimes surgery to remove the blood from the anterior chamber.
Open-angle glaucoma is a chronic, progressive type of glaucoma characterized by the gradual loss of optic nerve fibers and resulting in visual field defects. It is called "open-angle" because the angle where the iris meets the cornea (trabecular meshwork) appears to be normal and open on examination. The exact cause of this condition is not fully understood, but it is associated with increased resistance to the outflow of aqueous humor within the trabecular meshwork, leading to an increase in intraocular pressure (IOP). This elevated IOP can cause damage to the optic nerve and result in vision loss.
The onset of open-angle glaucoma is often asymptomatic, making regular comprehensive eye examinations crucial for early detection and management. Treatment typically involves lowering IOP using medications, laser therapy, or surgery to prevent further optic nerve damage and preserve vision.
A glaucoma drainage implant is a medical device used in the surgical management of glaucoma, a group of eye conditions that can lead to optic nerve damage and vision loss. The implant provides an alternative drainage pathway for the aqueous humor, the clear fluid inside the eye, to reduce intraocular pressure (IOP) when other treatment methods have been unsuccessful.
The glaucoma drainage implant typically consists of a small silicone or polypropylene plate with a tube attached. During surgery, the tube is carefully inserted into the anterior chamber of the eye, allowing the aqueous humor to flow through the tube and collect on the plate. The plate is placed underneath the conjunctiva, the clear membrane that covers the white part of the eye, where the fluid gets absorbed by the body.
There are various types of glaucoma drainage implants available, such as the Ahmed Glaucoma Valve, Baerveldt Glaucoma Implant, and Molteno Glaucoma Implant. Each type has its unique design features and may be more suitable for specific cases depending on the severity of glaucoma, previous surgical history, and individual patient factors.
Glaucoma drainage implant surgery is usually considered when other treatment options, such as medication or laser therapy, have failed to control IOP effectively. The procedure aims to prevent further optic nerve damage and preserve the patient's remaining vision. Potential complications of glaucoma drainage implant surgery include infection, bleeding, hypotony (abnormally low IOP), exposure of the tube, and failure of the device. Regular postoperative follow-up with an eye care professional is essential to monitor the implant's performance and manage any potential complications.
Ocular hypotension is a medical term that refers to a condition where the pressure inside the eye (intraocular pressure or IOP) is lower than normal. The normal range for IOP is typically between 10-21 mmHg (millimeters of mercury). Ocular hypotension can occur due to various reasons, including certain medications, medical conditions, or surgical procedures that affect the eye's ability to produce or drain aqueous humor, the clear fluid inside the eye.
While mild ocular hypotension may not cause any symptoms, more significant cases can lead to complications such as decreased vision, optic nerve damage, and visual field loss. If left untreated, it could potentially result in a condition called glaucoma. It is essential to consult an eye care professional if you suspect ocular hypotension or experience any changes in your vision.
Filtering surgery is a type of ophthalmic procedure, specifically a glaucoma surgery, that involves creating a new pathway for the aqueous humor (the clear fluid inside the eye) to drain from the anterior chamber to the exterior through a synthetic implant. This surgery is aimed at reducing intraocular pressure (IOP) in patients with open-angle or closed-angle glaucoma who have not responded well to medication or laser treatments. The most common type of filtering surgery is trabeculectomy.
In a trabeculectomy, a small opening is made in the sclera (the white part of the eye), and a thin piece of the sclera along with the underlying trabecular meshwork is removed to create a filtering bleb. This bleb is a raised area on the surface of the eye that allows the aqueous humor to drain out, forming a fluid-filled space under the conjunctiva. The fluid then gradually reabsorbs into the bloodstream, lowering the IOP and relieving pressure on the optic nerve, which can help prevent further vision loss due to glaucoma.
It is important to note that filtering surgery carries risks such as infection, bleeding, cataract formation, and potential loss of vision. Proper postoperative care and follow-up with an ophthalmologist are crucial for successful outcomes.
The trabecular meshwork is a specialized tissue located in the anterior chamber angle of the eye, near the iris and cornea. It is composed of a network of interconnected beams or trabeculae that provide support and structure to the eye. The primary function of the trabecular meshwork is to regulate the outflow of aqueous humor, the fluid that fills the anterior chamber of the eye, and maintain intraocular pressure within normal ranges.
The aqueous humor flows from the ciliary processes in the posterior chamber of the eye through the pupil and into the anterior chamber. From there, it drains out of the eye through the trabecular meshwork and into the canal of Schlemm, which leads to the venous system. Any obstruction or damage to the trabecular meshwork can lead to an increase in intraocular pressure and potentially contribute to the development of glaucoma, a leading cause of irreversible blindness worldwide.
Antimetabolites are a class of drugs that interfere with the normal metabolic processes of cells, particularly those involved in DNA replication and cell division. They are commonly used as chemotherapeutic agents to treat various types of cancer because many cancer cells divide more rapidly than normal cells. Antimetabolites work by mimicking natural substances needed for cell growth and division, such as nucleotides or amino acids, and getting incorporated into the growing cells' DNA or protein structures, which ultimately leads to the termination of cell division and death of the cancer cells. Examples of antimetabolites include methotrexate, 5-fluorouracil, and capecitabine.
A blister is a small fluid-filled bubble that forms on the skin due to friction, burns, or contact with certain chemicals or irritants. Blisters are typically filled with a clear fluid called serum, which is a component of blood. They can also be filled with blood (known as blood blisters) if the blister is caused by a more severe injury.
Blisters act as a natural protective barrier for the underlying skin and tissues, preventing infection and promoting healing. It's generally recommended to leave blisters intact and avoid breaking them, as doing so can increase the risk of infection and delay healing. If a blister is particularly large or painful, medical attention may be necessary to prevent complications.
The sclera is the tough, white, fibrous outer coating of the eye in humans and other vertebrates, covering about five sixths of the eyeball's surface. It provides protection for the delicate inner structures of the eye and maintains its shape. The sclera is composed mainly of collagen and elastic fiber, making it strong and resilient. Its name comes from the Greek word "skleros," which means hard.
The conjunctiva is the mucous membrane that lines the inner surface of the eyelids and covers the front part of the eye, also known as the sclera. It helps to keep the eye moist and protected from irritants. The conjunctiva can become inflamed or infected, leading to conditions such as conjunctivitis (pink eye).
Phacoemulsification is a surgical procedure used in cataract removal. It involves using an ultrasonic device to emulsify (break up) the cloudy lens (cataract) into small pieces, which are then aspirated or sucked out through a small incision. This procedure allows for smaller incisions and faster recovery times compared to traditional cataract surgery methods. After the cataract is removed, an artificial intraocular lens (IOL) is typically implanted to replace the natural lens and restore vision.
Cataract extraction is a surgical procedure that involves removing the cloudy lens (cataract) from the eye. This procedure is typically performed to restore vision impairment caused by cataracts and improve overall quality of life. There are two primary methods for cataract extraction:
1. Phacoemulsification: This is the most common method used today. It involves making a small incision in the front part of the eye (cornea), inserting an ultrasonic probe to break up the cloudy lens into tiny pieces, and then removing those pieces with suction. After removing the cataract, an artificial intraocular lens (IOL) is inserted to replace the natural lens and help focus light onto the retina.
2. Extracapsular Cataract Extraction: In this method, a larger incision is made on the side of the cornea, allowing the surgeon to remove the cloudy lens in one piece without breaking it up. The back part of the lens capsule is left intact to support the IOL. This technique is less common and typically reserved for more advanced cataracts or when phacoemulsification cannot be performed.
Recovery from cataract extraction usually involves using eye drops to prevent infection and inflammation, as well as protecting the eye with a shield or glasses during sleep for a few weeks after surgery. Most people experience improved vision within a few days to a week following the procedure.
Visual acuity is a measure of the sharpness or clarity of vision. It is usually tested by reading an eye chart from a specific distance, such as 20 feet (6 meters). The standard eye chart used for this purpose is called the Snellen chart, which contains rows of letters that decrease in size as you read down the chart.
Visual acuity is typically expressed as a fraction, with the numerator representing the testing distance and the denominator indicating the smallest line of type that can be read clearly. For example, if a person can read the line on the eye chart that corresponds to a visual acuity of 20/20, it means they have normal vision at 20 feet. If their visual acuity is 20/40, it means they must be as close as 20 feet to see what someone with normal vision can see at 40 feet.
It's important to note that visual acuity is just one aspect of overall vision and does not necessarily reflect other important factors such as peripheral vision, depth perception, color vision, or contrast sensitivity.
Angle-closure glaucoma is a type of glaucoma that is characterized by the sudden or gradually increasing pressure in the eye (intraocular pressure) due to the closure or narrowing of the angle between the iris and cornea. This angle is where the drainage system of the eye, called the trabecular meshwork, is located. When the angle becomes too narrow or closes completely, fluid cannot properly drain from the eye, leading to a buildup of pressure that can damage the optic nerve and cause permanent vision loss.
Angle-closure glaucoma can be either acute or chronic. Acute angle-closure glaucoma is a medical emergency that requires immediate treatment to prevent permanent vision loss. It is characterized by sudden symptoms such as severe eye pain, nausea and vomiting, blurred vision, halos around lights, and redness of the eye.
Chronic angle-closure glaucoma, on the other hand, develops more slowly over time and may not have any noticeable symptoms until significant damage has already occurred. It is important to diagnose and treat angle-closure glaucoma as early as possible to prevent vision loss. Treatment options include medications to lower eye pressure, laser treatment to create a new opening for fluid drainage, or surgery to improve the flow of fluid out of the eye.
Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:
1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.
Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.
Ocular tonometry is a medical test used to measure the pressure inside the eye, also known as intraocular pressure (IOP). This test is an essential part of diagnosing and monitoring glaucoma, a group of eye conditions that can cause vision loss and blindness due to damage to the optic nerve from high IOP.
The most common method of ocular tonometry involves using a tonometer device that gently touches the front surface of the eye (cornea) with a small probe or prism. The device measures the amount of force required to flatten the cornea slightly, which correlates with the pressure inside the eye. Other methods of ocular tonometry include applanation tonometry, which uses a small amount of fluorescein dye and a blue light to measure the IOP, and rebound tonometry, which uses a lightweight probe that briefly touches the cornea and then bounces back to determine the IOP.
Regular ocular tonometry is important for detecting glaucoma early and preventing vision loss. It is typically performed during routine eye exams and may be recommended more frequently for individuals at higher risk of developing glaucoma, such as those with a family history of the condition or certain medical conditions like diabetes.
Neovascular glaucoma is a type of glaucoma that is characterized by the growth of new, abnormal blood vessels on the iris (the colored part of the eye) and/or over the drainage channels (trabecular meshwork) in the corner of the eye. These new blood vessels can interfere with the normal flow of fluid out of the eye, leading to an increase in eye pressure (intraocular pressure or IOP). This elevated IOP can cause damage to the optic nerve and result in permanent vision loss if not treated promptly and effectively.
Neovascular glaucoma is often associated with other underlying conditions that affect the blood vessels, such as diabetes, central retinal vein occlusion, or ocular ischemic syndrome. Treatment typically involves addressing the underlying cause, as well as controlling the IOP with medications, laser treatment, or surgery to prevent further vision loss.
The anterior chamber is the front portion of the eye, located between the cornea (the clear front "window" of the eye) and the iris (the colored part of the eye). It is filled with a clear fluid called aqueous humor that provides nutrients to the structures inside the eye and helps maintain its shape. The anterior chamber plays an important role in maintaining the overall health and function of the eye.
Nucleic acid synthesis inhibitors are a class of antimicrobial, antiviral, or antitumor agents that block the synthesis of nucleic acids (DNA or RNA) by interfering with enzymes involved in their replication. These drugs can target various stages of nucleic acid synthesis, including DNA transcription, replication, and repair, as well as RNA transcription and processing.
Examples of nucleic acid synthesis inhibitors include:
1. Antibiotics like quinolones (e.g., ciprofloxacin), rifamycins (e.g., rifampin), and trimethoprim, which target bacterial DNA gyrase, RNA polymerase, or dihydrofolate reductase, respectively.
2. Antiviral drugs like reverse transcriptase inhibitors (e.g., zidovudine, lamivudine) and integrase strand transfer inhibitors (e.g., raltegravir), which target HIV replication by interfering with viral enzymes required for DNA synthesis.
3. Antitumor drugs like antimetabolites (e.g., methotrexate, 5-fluorouracil) and topoisomerase inhibitors (e.g., etoposide, doxorubicin), which interfere with DNA replication and repair in cancer cells.
These drugs have been widely used for treating various bacterial and viral infections, as well as cancers, due to their ability to selectively inhibit the growth of target cells without affecting normal cellular functions significantly. However, they may also cause side effects related to their mechanism of action or off-target effects on non-target cells.
In medical terms, the iris refers to the colored portion of the eye that surrounds the pupil. It is a circular structure composed of thin, contractile muscle fibers (radial and circumferential) arranged in a regular pattern. These muscles are controlled by the autonomic nervous system and can adjust the size of the pupil in response to changes in light intensity or emotional arousal. By constricting or dilating the iris, the amount of light entering the eye can be regulated, which helps maintain optimal visual acuity under various lighting conditions.
The color of the iris is determined by the concentration and distribution of melanin pigments within the iris stroma. The iris also contains blood vessels, nerves, and connective tissue that support its structure and function. Anatomically, the iris is continuous with the ciliary body and the choroid, forming part of the uveal tract in the eye.
Acoustic microscopy is a non-invasive imaging technique that uses sound waves to visualize and analyze the structure and properties of various materials, including biological samples. In the context of medical diagnostics and research, acoustic microscopy can be used to examine tissues, cells, and cellular components with high resolution, providing valuable information about their mechanical and physical properties.
In acoustic microscopy, high-frequency sound waves are focused onto a sample using a transducer. The interaction between the sound waves and the sample generates echoes, which contain information about the sample's internal structure and properties. These echoes are then recorded and processed to create an image of the sample.
Acoustic microscopy offers several advantages over other imaging techniques, such as optical microscopy or electron microscopy. For example, it does not require staining or labeling of samples, which can be time-consuming and potentially damaging. Additionally, acoustic microscopy can provide high-resolution images of samples in their native state, allowing researchers to study the effects of various treatments or interventions on living cells and tissues.
In summary, acoustic microscopy is a non-invasive imaging technique that uses sound waves to visualize and analyze the structure and properties of biological samples with high resolution, providing valuable information for medical diagnostics and research.
A surgical flap is a specialized type of surgical procedure where a section of living tissue (including skin, fat, muscle, and/or blood vessels) is lifted from its original site and moved to another location, while still maintaining a blood supply through its attached pedicle. This technique allows the surgeon to cover and reconstruct defects or wounds that cannot be closed easily with simple suturing or stapling.
Surgical flaps can be classified based on their vascularity, type of tissue involved, or method of transfer. The choice of using a specific type of surgical flap depends on the location and size of the defect, the patient's overall health, and the surgeon's expertise. Some common types of surgical flaps include:
1. Random-pattern flaps: These flaps are based on random blood vessels within the tissue and are typically used for smaller defects in areas with good vascularity, such as the face or scalp.
2. Axial pattern flaps: These flaps are designed based on a known major blood vessel and its branches, allowing them to cover larger defects or reach distant sites. Examples include the radial forearm flap and the anterolateral thigh flap.
3. Local flaps: These flaps involve tissue adjacent to the wound and can be further classified into advancement, rotation, transposition, and interpolation flaps based on their movement and orientation.
4. Distant flaps: These flaps are harvested from a distant site and then transferred to the defect after being tunneled beneath the skin or through a separate incision. Examples include the groin flap and the latissimus dorsi flap.
5. Free flaps: In these flaps, the tissue is completely detached from its original blood supply and then reattached at the new site using microvascular surgical techniques. This allows for greater flexibility in terms of reach and placement but requires specialized expertise and equipment.
Surgical flaps play a crucial role in reconstructive surgery, helping to restore form and function after trauma, tumor removal, or other conditions that result in tissue loss.
Alkylating agents are a class of chemotherapy drugs that work by alkylating, or adding an alkyl group to, DNA molecules. This process can damage the DNA and prevent cancer cells from dividing and growing. Alkylating agents are often used to treat various types of cancer, including Hodgkin's lymphoma, non-Hodgkin's lymphoma, multiple myeloma, and solid tumors. Examples of alkylating agents include cyclophosphamide, melphalan, and chlorambucil. These drugs can have significant side effects, including nausea, vomiting, hair loss, and an increased risk of infection. They can also cause long-term damage to the heart, lungs, and reproductive system.
"Sclerostomy" is not a widely recognized or established medical term. However, based on its component parts - "sclero-" (meaning hardening or scarring) and "-stomy" (meaning creation of an opening or passage) - it could potentially be used to describe a surgical procedure that creates an opening in a hardened or scarred tissue.
However, in ophthalmology, "sclerostomy" is sometimes used to refer to a procedure where a small opening is made in the sclera (the white part of the eye) during glaucoma surgery to relieve pressure inside the eye. This is not a formal or widely recognized term, and its use may vary depending on the medical context.
Intraocular lenses (IOLs) are artificial lens implants that are placed inside the eye during ophthalmic surgery, such as cataract removal. These lenses are designed to replace the natural lens of the eye that has become clouded or damaged, thereby restoring vision impairment caused by cataracts or other conditions.
There are several types of intraocular lenses available, including monofocal, multifocal, toric, and accommodative lenses. Monofocal IOLs provide clear vision at a single fixed distance, while multifocal IOLs offer clear vision at multiple distances. Toric IOLs are designed to correct astigmatism, and accommodative IOLs can change shape and position within the eye to allow for a range of vision.
The selection of the appropriate type of intraocular lens depends on various factors, including the patient's individual visual needs, lifestyle, and ocular health. The implantation procedure is typically performed on an outpatient basis and involves minimal discomfort or recovery time. Overall, intraocular lenses have become a safe and effective treatment option for patients with vision impairment due to cataracts or other eye conditions.
The postoperative period is the time following a surgical procedure during which the patient's response to the surgery and anesthesia is monitored, and any complications or adverse effects are managed. This period can vary in length depending on the type of surgery and the individual patient's needs, but it typically includes the immediate recovery phase in the post-anesthesia care unit (PACU) or recovery room, as well as any additional time spent in the hospital for monitoring and management of pain, wound healing, and other aspects of postoperative care.
The goals of postoperative care are to ensure the patient's safety and comfort, promote optimal healing and rehabilitation, and minimize the risk of complications such as infection, bleeding, or other postoperative issues. The specific interventions and treatments provided during this period will depend on a variety of factors, including the type and extent of surgery performed, the patient's overall health and medical history, and any individualized care plans developed in consultation with the patient and their healthcare team.
A cataract is a clouding of the natural lens in the eye that affects vision. This clouding can cause vision to become blurry, faded, or dim, making it difficult to see clearly. Cataracts are a common age-related condition, but they can also be caused by injury, disease, or medication use. In most cases, cataracts develop gradually over time and can be treated with surgery to remove the cloudy lens and replace it with an artificial one.
Gonioscopy is a diagnostic procedure in ophthalmology used to examine the anterior chamber angle, which is the area where the iris and cornea meet. This examination helps to evaluate the drainage pathways of the eye for conditions such as glaucoma. A special contact lens called a goniolens is placed on the cornea during the procedure to allow the healthcare provider to visualize the angle using a biomicroscope. The lens may be coupled with a mirrored or prismatic surface to enhance the view of the angle. Gonioscopy can help detect conditions like narrow angles, closed angles, neovascularization, and other abnormalities that might contribute to glaucoma development or progression.
Iritis is a medical condition that refers to the inflammation of the iris, which is the colored part of the eye. The iris controls the size of the pupil and thus regulates the amount of light that enters the eye. Iritis can cause symptoms such as eye pain, redness, photophobia (sensitivity to light), blurred vision, and headaches. It is often treated with anti-inflammatory medications and may require prompt medical attention to prevent complications such as glaucoma or vision loss. The underlying cause of iritis can vary and may include infections, autoimmune diseases, trauma, or other conditions.
Ophthalmic solutions are sterile, single-use or multi-dose preparations in a liquid form that are intended for topical administration to the eye. These solutions can contain various types of medications, such as antibiotics, anti-inflammatory agents, antihistamines, or lubricants, which are used to treat or prevent ocular diseases and conditions.
The pH and osmolarity of ophthalmic solutions are carefully controlled to match the physiological environment of the eye and minimize any potential discomfort or irritation. The solutions may be packaged in various forms, including drops, sprays, or irrigations, depending on the intended use and administration route.
It is important to follow the instructions for use provided by a healthcare professional when administering ophthalmic solutions, as improper use can lead to eye injury or reduced effectiveness of the medication.
Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.
There are several types of suture techniques, including:
1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.
The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.
A Molteno implant refers to a type of glaucoma drainage device used in ophthalmology to lower intraocular pressure (IOP) in patients with uncontrolled glaucoma. The device consists of a small plastic plate with a silicone tube that is implanted into the eye during a surgical procedure.
The tube creates a passage for the aqueous humor, the fluid inside the eye, to flow out of the eye and into a reservoir created by the plate, which is positioned under the conjunctiva (the clear membrane covering the white part of the eye). The fluid is then absorbed by the body, reducing the IOP within the eye.
The Molteno implant is typically used in cases where other glaucoma treatments have failed, and it provides a long-term solution for managing IOP and preventing further damage to the optic nerve and visual field. It is named after Anthony Molteno, who developed the device in the 1960s.
Conjunctival diseases refer to a group of medical conditions that affect the conjunctiva, which is the thin, clear mucous membrane that covers the inner surface of the eyelids and the white part of the eye (known as the sclera). The conjunctiva helps to keep the eye moist and protected from irritants.
Conjunctival diseases can cause a range of symptoms, including redness, itching, burning, discharge, grittiness, and pain. Some common conjunctival diseases include:
1. Conjunctivitis (pink eye): This is an inflammation or infection of the conjunctiva that can be caused by viruses, bacteria, or allergies. Symptoms may include redness, itching, discharge, and watery eyes.
2. Pinguecula: This is a yellowish, raised bump that forms on the conjunctiva, usually near the corner of the eye. It is caused by an overgrowth of connective tissue and may be related to sun exposure or dry eye.
3. Pterygium: This is a fleshy growth that extends from the conjunctiva onto the cornea (the clear front part of the eye). It can cause redness, irritation, and vision problems if it grows large enough to cover the pupil.
4. Allergic conjunctivitis: This is an inflammation of the conjunctiva caused by an allergic reaction to substances such as pollen, dust mites, or pet dander. Symptoms may include redness, itching, watery eyes, and swelling.
5. Chemical conjunctivitis: This is an irritation or inflammation of the conjunctiva caused by exposure to chemicals such as chlorine, smoke, or fumes. Symptoms may include redness, burning, and tearing.
6. Giant papillary conjunctivitis (GPC): This is a type of allergic reaction that occurs in response to the presence of a foreign body in the eye, such as a contact lens. Symptoms may include itching, mucus discharge, and a gritty feeling in the eye.
Treatment for conjunctival diseases depends on the underlying cause. In some cases, over-the-counter medications or home remedies may be sufficient to relieve symptoms. However, more severe cases may require prescription medication or medical intervention. It is important to consult with a healthcare provider if you experience persistent or worsening symptoms of conjunctival disease.
Intraoperative care refers to the medical care and interventions provided to a patient during a surgical procedure. This care is typically administered by a team of healthcare professionals, including anesthesiologists, surgeons, nurses, and other specialists as needed. The goal of intraoperative care is to maintain the patient's physiological stability throughout the surgery, minimize complications, and ensure the best possible outcome.
Intraoperative care may include:
1. Anesthesia management: Administering and monitoring anesthetic drugs to keep the patient unconscious and free from pain during the surgery.
2. Monitoring vital signs: Continuously tracking the patient's heart rate, blood pressure, oxygen saturation, body temperature, and other key physiological parameters to ensure they remain within normal ranges.
3. Fluid and blood product administration: Maintaining adequate intravascular volume and oxygen-carrying capacity through the infusion of fluids and blood products as needed.
4. Intraoperative imaging: Utilizing real-time imaging techniques, such as X-ray, ultrasound, or CT scans, to guide the surgical procedure and ensure accurate placement of implants or other devices.
5. Neuromonitoring: Using electrophysiological methods to monitor the functional integrity of nerves and neural structures during surgery, particularly in procedures involving the brain, spine, or peripheral nerves.
6. Intraoperative medication management: Administering various medications as needed for pain control, infection prophylaxis, or the treatment of medical conditions that may arise during the surgery.
7. Temperature management: Regulating the patient's body temperature to prevent hypothermia or hyperthermia, which can have adverse effects on surgical outcomes and overall patient health.
8. Communication and coordination: Ensuring effective communication among the members of the surgical team to optimize patient care and safety.
Postoperative care refers to the comprehensive medical treatment and nursing attention provided to a patient following a surgical procedure. The goal of postoperative care is to facilitate the patient's recovery, prevent complications, manage pain, ensure proper healing of the incision site, and maintain overall health and well-being until the patient can resume their normal activities.
This type of care includes monitoring vital signs, managing pain through medication or other techniques, ensuring adequate hydration and nutrition, helping the patient with breathing exercises to prevent lung complications, encouraging mobility to prevent blood clots, monitoring for signs of infection or other complications, administering prescribed medications, providing wound care, and educating the patient about postoperative care instructions.
The duration of postoperative care can vary depending on the type and complexity of the surgical procedure, as well as the individual patient's needs and overall health status. It may be provided in a hospital setting, an outpatient surgery center, or in the patient's home, depending on the level of care required.
Eye injuries refer to any damage or trauma caused to the eye or its surrounding structures. These injuries can vary in severity and may include:
1. Corneal abrasions: A scratch or scrape on the clear surface of the eye (cornea).
2. Chemical burns: Occurs when chemicals come into contact with the eye, causing damage to the cornea and other structures.
3. Eyelid lacerations: Cuts or tears to the eyelid.
4. Subconjunctival hemorrhage: Bleeding under the conjunctiva, the clear membrane that covers the white part of the eye.
5. Hyphema: Accumulation of blood in the anterior chamber of the eye, which is the space between the cornea and iris.
6. Orbital fractures: Breaks in the bones surrounding the eye.
7. Retinal detachment: Separation of the retina from its underlying tissue, which can lead to vision loss if not treated promptly.
8. Traumatic uveitis: Inflammation of the uvea, the middle layer of the eye, caused by trauma.
9. Optic nerve damage: Damage to the optic nerve, which transmits visual information from the eye to the brain.
Eye injuries can result from a variety of causes, including accidents, sports-related injuries, violence, and chemical exposure. It is important to seek medical attention promptly for any suspected eye injury to prevent further damage and potential vision loss.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.
In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.
The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.
"Surgically-created structures" is not a standard medical term, but I can provide a general explanation of surgical procedures that create or modify anatomical structures.
Surgical procedures may involve creating new structures or modifying existing ones to achieve specific therapeutic goals. These modifications can be temporary or permanent and are often designed to improve organ function, restore physiological processes, or correct congenital abnormalities. Here are some examples of surgically-created structures:
1. Anastomosis: The connection of two hollow organs (e.g., intestines, blood vessels) or the reconnection of severed tubular structures after resection (removal) of damaged or diseased segments. Common types include end-to-end, side-to-side, and end-to-side anastomoses.
2. Stoma: An artificial opening created between a hollow organ (e.g., intestine, bladder) and the body surface to allow for waste elimination or drainage. Examples include colostomy, ileostomy, and urostomy.
3. Fistula: An abnormal connection or passageway between two organs, vessels, or the skin and an organ. Surgical creation of a fistula can be intentional (e.g., to divert intestinal contents in the management of complex wounds) or unintentional (e.g., as a complication).
4. Shunts: Artificial channels created to redirect fluid flow between body compartments, cavities, or vessels. Examples include peritoneal dialysis catheters, ventriculoperitoneal shunts for hydrocephalus management, and portosystemic shunts in the treatment of portal hypertension.
5. Flaps: A surgical technique used to relocate tissue from one part of the body to another while maintaining its blood supply. Flaps can be created using skin, muscle, fascia, or bone and are used for various purposes, such as wound closure, soft tissue reconstruction, or coverage of vital structures.
6. Grafts: Transplantation of tissue from one site to another or from a donor to a recipient. Common types include autografts (from the same individual), allografts (from another individual of the same species), and xenografts (from a different species). Examples include skin grafts, heart valve replacements, and corneal transplants.
7. Implants: Artificial devices or materials placed within the body to replace or augment function, support structures, or deliver medication. Examples include pacemakers, cochlear implants, orthopedic prostheses, and drug-eluting stents.
8. Stomas: Surgically created openings on the body surface that allow for the passage of bodily fluids or waste. Common examples include colostomies, ileostomies, and gastrostomies.
Eye infections, also known as ocular infections, are conditions characterized by the invasion and multiplication of pathogenic microorganisms in any part of the eye or its surrounding structures. These infections can affect various parts of the eye, including the conjunctiva (conjunctivitis), cornea (keratitis), eyelid (blepharitis), or the internal structures of the eye (endophthalmitis, uveitis). The symptoms may include redness, pain, discharge, itching, blurred vision, and sensitivity to light. The cause can be bacterial, viral, fungal, or parasitic, and the treatment typically involves antibiotics, antivirals, or antifungals, depending on the underlying cause.
Fluorouracil is a antineoplastic medication, which means it is used to treat cancer. It is a type of chemotherapy drug known as an antimetabolite. Fluorouracil works by interfering with the growth of cancer cells and ultimately killing them. It is often used to treat colon, esophageal, stomach, and breast cancers, as well as skin conditions such as actinic keratosis and superficial basal cell carcinoma. Fluorouracil may be given by injection or applied directly to the skin in the form of a cream.
It is important to note that fluorouracil can have serious side effects, including suppression of bone marrow function, mouth sores, stomach and intestinal ulcers, and nerve damage. It should only be used under the close supervision of a healthcare professional.
Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.
Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.
Blepharoptosis is a medical term that refers to the drooping or falling of the upper eyelid. It is usually caused by weakness or paralysis of the muscle that raises the eyelid, known as the levator palpebrae superioris. This condition can be present at birth or acquired later in life due to various factors such as aging, nerve damage, eye surgery complications, or certain medical conditions like myasthenia gravis or brain tumors. Blepharoptosis may obstruct vision and cause difficulty with daily activities, and treatment options include eyedrops, eye patches, or surgical correction.
In medical terms, sutures are specialized surgical threads made from various materials such as absorbable synthetic or natural fibers, or non-absorbable materials like nylon or silk. They are used to approximate and hold together the edges of a wound or incision in the skin or other tissues during the healing process. Sutures come in different sizes, types, and shapes, each designed for specific uses and techniques depending on the location and type of tissue being sutured. Properly placed sutures help to promote optimal healing, minimize scarring, and reduce the risk of infection or other complications.
The choroid is a part of the eye located between the retina and the sclera, which contains a large number of blood vessels that supply oxygen and nutrients to the outer layers of the retina. Choroid diseases refer to various medical conditions that affect the health and function of the choroid. Here are some examples:
1. Choroidal neovascularization (CNV): This is a condition where new blood vessels grow from the choroid into the retina, leading to fluid accumulation, bleeding, and scarring. CNV can cause vision loss and is often associated with age-related macular degeneration, myopia, and inflammatory eye diseases.
2. Chorioretinitis: This is an infection or inflammation of the choroid and retina, which can be caused by various microorganisms such as bacteria, viruses, fungi, or parasites. Symptoms may include blurred vision, floaters, light sensitivity, and eye pain.
3. Choroidal hemorrhage: This is a rare but serious condition where there is bleeding into the choroid, often caused by trauma, high blood pressure, or blood clotting disorders. It can lead to sudden vision loss and requires urgent medical attention.
4. Choroideremia: This is a genetic disorder that affects the choroid, retina, and optic nerve, leading to progressive vision loss. It is caused by mutations in the CHM gene and primarily affects males.
5. Central serous retinopathy (CSR): This is a condition where fluid accumulates under the retina, often in the macula, causing distortion or blurring of vision. While the exact cause is unknown, CSR is thought to be related to stress, steroid use, and other factors that affect the choroid's ability to regulate fluid.
6. Polypoidal choroidal vasculopathy (PCV): This is a condition where abnormal blood vessels form in the choroid, leading to serous or hemorrhagic detachment of the retina. PCV is often associated with age-related macular degeneration and can cause vision loss if left untreated.
These are just a few examples of choroidal disorders that can affect vision. If you experience any sudden changes in your vision, it's important to seek medical attention promptly.
The intraoperative period is the phase of surgical treatment that refers to the time during which the surgery is being performed. It begins when the anesthesia is administered and the patient is prepared for the operation, and it ends when the surgery is completed, the anesthesia is discontinued, and the patient is transferred to the recovery room or intensive care unit (ICU).
During the intraoperative period, the surgical team, including surgeons, anesthesiologists, nurses, and other healthcare professionals, work together to carry out the surgical procedure safely and effectively. The anesthesiologist monitors the patient's vital signs, such as heart rate, blood pressure, oxygen saturation, and body temperature, throughout the surgery to ensure that the patient remains stable and does not experience any complications.
The surgeon performs the operation, using various surgical techniques and instruments to achieve the desired outcome. The surgical team also takes measures to prevent infection, control bleeding, and manage pain during and after the surgery.
Overall, the intraoperative period is a critical phase of surgical treatment that requires close collaboration and communication among members of the healthcare team to ensure the best possible outcomes for the patient.
Surgical sponges are absorbent, sterile materials used in medical procedures to soak up bodily fluids and help maintain a clean surgical field. They are typically made from gauze material and come in various sizes and shapes to accommodate different surgical needs. Surgical sponges are carefully counted before and after a procedure to ensure that none are accidentally left inside the patient's body.
Miotics, also known as parasympathomimetics or cholinergic agents, are a class of medications that stimulate the parasympathetic nervous system. They work by activating muscarinic receptors, which are found in various organs throughout the body, including the eye. In the eye, miotics cause contraction of the circular muscle of the iris, resulting in pupillary constriction (miosis). This action can help to reduce intraocular pressure in patients with glaucoma.
Miotics may also have other effects on the eye, such as accommodation (focusing) and decreasing the production of aqueous humor. Some examples of miotics include pilocarpine, carbachol, and ecothiopate. It's important to note that the use of miotics can have side effects, including blurred vision, headache, and brow ache.
Beta particles, also known as beta rays, are a type of ionizing radiation that consist of high-energy electrons or positrons emitted from the nucleus of certain radioactive isotopes during their decay process. When a neutron in the nucleus decays into a proton, it results in an excess energy state and one electron is ejected from the atom at high speed. This ejected electron is referred to as a beta particle.
Beta particles can have both positive and negative charges, depending on the type of decay process. Negative beta particles (β−) are equivalent to electrons, while positive beta particles (β+) are equivalent to positrons. They possess kinetic energy that varies in range, with higher energies associated with greater penetrating power.
Beta particles can cause ionization and excitation of atoms and molecules they encounter, leading to chemical reactions and potential damage to living tissues. Therefore, appropriate safety measures must be taken when handling materials that emit beta radiation.
Iris diseases refer to a variety of conditions that affect the iris, which is the colored part of the eye that regulates the amount of light reaching the retina by adjusting the size of the pupil. Some common iris diseases include:
1. Iritis: This is an inflammation of the iris and the adjacent tissues in the eye. It can cause pain, redness, photophobia (sensitivity to light), and blurred vision.
2. Aniridia: A congenital condition characterized by the absence or underdevelopment of the iris. This can lead to decreased visual acuity, sensitivity to light, and an increased risk of glaucoma.
3. Iris cysts: These are fluid-filled sacs that form on the iris. They are usually benign but can cause vision problems if they grow too large or interfere with the function of the eye.
4. Iris melanoma: A rare type of eye cancer that develops in the pigmented cells of the iris. It can cause symptoms such as blurred vision, floaters, and changes in the appearance of the iris.
5. Iridocorneal endothelial syndrome (ICE): A group of rare eye conditions that affect the cornea and the iris. They are characterized by the growth of abnormal tissue on the back surface of the cornea and can lead to vision loss.
It is important to seek medical attention if you experience any symptoms of iris diseases, as early diagnosis and treatment can help prevent complications and preserve your vision.
Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.
Visual fields refer to the total area in which objects can be seen while keeping the eyes focused on a central point. It is the entire area that can be observed using peripheral (side) vision while the eye gazes at a fixed point. A visual field test is used to detect blind spots or gaps (scotomas) in a person's vision, which could indicate various medical conditions such as glaucoma, retinal damage, optic nerve disease, brain tumors, or strokes. The test measures both the central and peripheral vision and maps the entire area that can be seen when focusing on a single point.
Antibiotics are a type of medication used to treat infections caused by bacteria. They work by either killing the bacteria or inhibiting their growth.
Antineoplastics, also known as chemotherapeutic agents, are a class of drugs used to treat cancer. These medications target and destroy rapidly dividing cells, such as cancer cells, although they can also affect other quickly dividing cells in the body, such as those in the hair follicles or digestive tract, which can lead to side effects.
Antibiotics and antineoplastics are two different classes of drugs with distinct mechanisms of action and uses. It is important to use them appropriately and under the guidance of a healthcare professional.
Endophthalmitis is a serious inflammatory eye condition that occurs when an infection develops inside the eyeball, specifically within the vitreous humor (the clear, gel-like substance that fills the space between the lens and the retina). This condition can be caused by bacteria, fungi, or other microorganisms that enter the eye through various means, such as trauma, surgery, or spread from another infected part of the body.
Endophthalmitis is often characterized by symptoms like sudden onset of pain, redness, decreased vision, and increased sensitivity to light (photophobia). If left untreated, it can lead to severe complications, including blindness. Treatment typically involves administering antibiotics or antifungal medications, either systemically or directly into the eye, and sometimes even requiring surgical intervention to remove infected tissues and relieve intraocular pressure.
An injection is a medical procedure in which a medication, vaccine, or other substance is introduced into the body using a needle and syringe. The substance can be delivered into various parts of the body, including into a vein (intravenous), muscle (intramuscular), under the skin (subcutaneous), or into the spinal canal (intrathecal or spinal).
Injections are commonly used to administer medications that cannot be taken orally, have poor oral bioavailability, need to reach the site of action quickly, or require direct delivery to a specific organ or tissue. They can also be used for diagnostic purposes, such as drawing blood samples (venipuncture) or injecting contrast agents for imaging studies.
Proper technique and sterile conditions are essential when administering injections to prevent infection, pain, and other complications. The choice of injection site depends on the type and volume of the substance being administered, as well as the patient's age, health status, and personal preferences.
Laser therapy, also known as phototherapy or laser photobiomodulation, is a medical treatment that uses low-intensity lasers or light-emitting diodes (LEDs) to stimulate healing, reduce pain, and decrease inflammation. It works by promoting the increase of cellular metabolism, blood flow, and tissue regeneration through the process of photobiomodulation.
The therapy can be used on patients suffering from a variety of acute and chronic conditions, including musculoskeletal injuries, arthritis, neuropathic pain, and wound healing complications. The wavelength and intensity of the laser light are precisely controlled to ensure a safe and effective treatment.
During the procedure, the laser or LED device is placed directly on the skin over the area of injury or discomfort. The non-ionizing light penetrates the tissue without causing heat or damage, interacting with chromophores in the cells to initiate a series of photochemical reactions. This results in increased ATP production, modulation of reactive oxygen species, and activation of transcription factors that lead to improved cellular function and reduced pain.
In summary, laser therapy is a non-invasive, drug-free treatment option for various medical conditions, providing patients with an alternative or complementary approach to traditional therapies.
The optic disk, also known as the optic nerve head, is the point where the optic nerve fibers exit the eye and transmit visual information to the brain. It appears as a pale, circular area in the back of the eye, near the center of the retina. The optic disk has no photoreceptor cells (rods and cones), so it is insensitive to light. It is an important structure to observe during eye examinations because changes in its appearance can indicate various ocular diseases or conditions, such as glaucoma, optic neuritis, or papilledema.
Intraocular lens (IOL) implantation is a surgical procedure that involves placing a small artificial lens inside the eye to replace the natural lens that has been removed. This procedure is typically performed during cataract surgery, where the cloudy natural lens is removed and replaced with an IOL to restore clear vision.
During the procedure, a small incision is made in the eye, and the cloudy lens is broken up and removed using ultrasound waves or laser energy. Then, the folded IOL is inserted through the same incision and positioned in the correct place inside the eye. Once in place, the IOL unfolds and is secured into position.
There are several types of IOLs available, including monofocal, multifocal, toric, and accommodating lenses. Monofocal lenses provide clear vision at one distance, while multifocal lenses offer clear vision at multiple distances. Toric lenses correct astigmatism, and accommodating lenses can change shape to focus on objects at different distances.
Overall, intraocular lens implantation is a safe and effective procedure that can help restore clear vision in patients with cataracts or other eye conditions that require the removal of the natural lens.
Aqueous humor is a clear, watery fluid that fills the anterior and posterior chambers of the eye. It is produced by the ciliary processes in the posterior chamber and circulates through the pupil into the anterior chamber, where it provides nutrients to the cornea and lens, maintains intraocular pressure, and helps to shape the eye. The aqueous humor then drains out of the eye through the trabecular meshwork and into the canal of Schlemm, eventually reaching the venous system.
Ophthalmologic surgical procedures refer to various types of surgeries performed on the eye and its surrounding structures by trained medical professionals called ophthalmologists. These procedures aim to correct or improve vision, diagnose and treat eye diseases or injuries, and enhance the overall health and functionality of the eye. Some common examples of ophthalmologic surgical procedures include:
1. Cataract Surgery: This procedure involves removing a cloudy lens (cataract) from the eye and replacing it with an artificial intraocular lens (IOL).
2. LASIK (Laser-Assisted In Situ Keratomileusis): A type of refractive surgery that uses a laser to reshape the cornea, correcting nearsightedness, farsightedness, and astigmatism.
3. Glaucoma Surgery: Several surgical options are available for treating glaucoma, including laser trabeculoplasty, traditional trabeculectomy, and various drainage device implantations. These procedures aim to reduce intraocular pressure (IOP) and prevent further optic nerve damage.
4. Corneal Transplant: This procedure involves replacing a damaged or diseased cornea with a healthy donor cornea to restore vision and improve the eye's appearance.
5. Vitreoretinal Surgery: These procedures focus on treating issues within the vitreous humor (gel-like substance filling the eye) and the retina, such as retinal detachment, macular holes, or diabetic retinopathy.
6. Strabismus Surgery: This procedure aims to correct misalignment of the eyes (strabismus) by adjusting the muscles responsible for eye movement.
7. Oculoplastic Surgery: These procedures involve reconstructive, cosmetic, and functional surgeries around the eye, such as eyelid repair, removal of tumors, or orbital fracture repairs.
8. Pediatric Ophthalmologic Procedures: Various surgical interventions are performed on children to treat conditions like congenital cataracts, amblyopia (lazy eye), or blocked tear ducts.
These are just a few examples of ophthalmic surgical procedures. The specific treatment plan will depend on the individual's condition and overall health.
Pseudophakia is a medical term that refers to the condition where a person's natural lens in the eye has been replaced with an artificial one. This procedure is typically performed during cataract surgery, where the cloudy, natural lens is removed and replaced with a clear, artificial lens to improve vision. The prefix "pseudo" means false or fake, and "phakia" refers to the natural lens of the eye, hence the term "Pseudophakia" implies a false or artificial lens.
An iridectomy is a surgical procedure that involves removing a small portion of the iris, which is the colored part of the eye. This procedure is typically performed to treat conditions such as closed-angle glaucoma or to prevent the development of acute angle closure glaucoma. By creating an opening in the iris, the surgery helps to improve the flow of fluid within the eye and reduce pressure inside the eye. It is usually done using a laser (laser iridectomy) or with surgical instruments (surgical iridectomy).
A sphygmomanometer is a device used to measure blood pressure. It consists of an inflatable cuff that is wrapped around the upper arm and connected to a column of mercury or aneroid gauge, which measures the pressure in the cuff. The cuff is inflated to occlude the brachial artery, and then gradually deflated while listening for the sounds of the pulsating blood flow with a stethoscope placed over the brachial artery.
The onset of the first sound (systolic pressure) and the disappearance of the last sound (diastolic pressure) are recorded to give an indication of the patient's blood pressure. Digital sphygmomanometers are also available, which use electronic sensors to detect the sounds and provide a digital readout of the blood pressure.
The eye is the organ of sight, primarily responsible for detecting and focusing on visual stimuli. It is a complex structure composed of various parts that work together to enable vision. Here are some of the main components of the eye:
1. Cornea: The clear front part of the eye that refracts light entering the eye and protects the eye from harmful particles and microorganisms.
2. Iris: The colored part of the eye that controls the amount of light reaching the retina by adjusting the size of the pupil.
3. Pupil: The opening in the center of the iris that allows light to enter the eye.
4. Lens: A biconvex structure located behind the iris that further refracts light and focuses it onto the retina.
5. Retina: A layer of light-sensitive cells (rods and cones) at the back of the eye that convert light into electrical signals, which are then transmitted to the brain via the optic nerve.
6. Optic Nerve: The nerve that carries visual information from the retina to the brain.
7. Vitreous: A clear, gel-like substance that fills the space between the lens and the retina, providing structural support to the eye.
8. Conjunctiva: A thin, transparent membrane that covers the front of the eye and the inner surface of the eyelids.
9. Extraocular Muscles: Six muscles that control the movement of the eye, allowing for proper alignment and focus.
The eye is a remarkable organ that allows us to perceive and interact with our surroundings. Various medical specialties, such as ophthalmology and optometry, are dedicated to the diagnosis, treatment, and management of various eye conditions and diseases.
Trabeculectomy - Wikipedia
Aqueous dynamics in experimental ab externo trabeculectomy
Trabeculectomy | Treatments & Procedures | Spire Healthcare
Diagnose This: Ocular pain after trabeculectomy - American Academy of Ophthalmology
Deep sclerectomy versus trabeculectomy with low-dosage mitomycin C: four-year follow-up
trabeculectomy | Taber's Medical Dictionary
Effect of trabeculectomy on pulsatile ocular blood flow. | British Journal of Ophthalmology
Effect of intraocular lens implantation on combined extracapsular cataract extraction with trabeculectomy: a comparative study....
The approach to trabeculectomy postoperative complications | Eye News
Trabeculectomy
Predictive value of early postoperative IOP and bleb morphology in Mitomycin-C augmented trabeculectomy - D-Scholarship@Pitt
trabeculectomy - Tropical Ophthalmology
Trabeculectomy: Overview, Indications, Contraindications
Luntz-Dodick Trabeculectomy Punch
Trabeculectomy » www.islandcentreforvision.com
Glaucoma Treatments: Eye Drops, Lasers, Surgery
Aniridia in the Newborn Treatment & Management: Medical Care, Surgical Care, Consultations
Trabeculopasty & Trabeculectomy - Sydney Eye Specialists
Trabeculectomy | Glaucoma Specialist in Jacksonville FL
Understanding Trabeculectomy: A Glaucoma Surgery Guide
Recent trends in the rate of trabeculectomy in England. - Nuffield Department of Population Health
Canaloplasty after Trabeculectomy | New-Glaucoma-Treatments.com
Trabeculectomy Surgery Sydney, NSW | Glaucoma Treatment Sydney
Lecture: Postoperative Care of the Trabeculectomy Patient | Cybersight
Filtration Surgery St. Petersburg, FL - Trabeculectomy Clearwater, FL
How is mitomycin C prepared for trabeculectomy?
Trabeculectomy - Boston Lasik-PRK-Laser Eye Surgery-Lasek-Intralase
Commentary and Perspectives - American Academy of Ophthalmology
No Significant Increase in Trabeculectomy Failure Following Clear-Cornea Phaco - Ophthalmology Advisor
Anterior-Segment Optical Coherence Tomography for Predicting Postoperative Outcomes After Trabeculectomy<...
Open-angle gl10
- However, in many types and stages of glaucoma the ideal initial treatment is something other than trabeculectomy (eg, topical medication is often the first-line treatment for primary open-angle glaucoma). (medscape.com)
- Trabeculectomy is a possible treatment for both closed-angle and open-angle glaucoma, as well as primary and secondary types of glaucoma. (hopkinsmedicine.org)
- Purpose: To study the safety and hypotensive effect of trabeculotomy augmented by postoperative topical medical treatment in patients with open-angle glaucoma and to compare with trabeculectomy augmented by mitomycin C. (intechopen.com)
- The aim of this study is to study the safety and hypotensive effect of trabeculotomy augmented by postoperative medical treatment in patients with open-angle glaucoma and to compare with trabeculectomy augmented by mitomycin C. (intechopen.com)
- In a non-randomized consecutive case series, we studied 82 patients with open-angle glaucoma who underwent trabeculotomy augmented by postoperative medical therapy or trabeculectomy augmented with mitomycin C. A diagnosis of glaucoma was on the gonioscopic finding along with appearance of the optic nerve head cupping and visual alteration according to the guideline of Japan Glaucoma Society [ 10 ]. (intechopen.com)
- Trabeculectomy is used to treat open-angle glaucoma and chronic closed-angle glaucoma. (memorialsameday.com)
- As I continued to advance in time on the faculty at MEEI, the more modern operation of trabeculectomy came into fashion, and I remember several of my own fellows questioning me why I was hesitant to offer the "trabeculectomy cure" more aggressively to my patients at earlier stages of their primary open-angle glaucoma (POAG) disease (without the need to document progression of their glaucoma). (keogt.com)
- Comparison of the Effect of Trabeculectomy with Mitomycin C on Corneal Hysteresis in Primary Open-angle Glaucoma and Pseudoexfoliative Glaucoma by: Ufuk Elgin, et al. (uitm.edu.my)
- Two-year outcomes of ab interno trabeculectomy with the Trabectome for Chinese primary open angle glaucoma: a retrospective multicenter study by: Ya-Long Dang, et al. (uitm.edu.my)
- To compare the intraocular pressure-lowering efficacy and complication rate of ab interno trabeculectomy with the Trabectome between African American (AA) and Caucasian patients with open-angle glaucoma. (aku.edu)
Intraocular13
- Trabeculectomy is a surgical procedure used in the treatment of glaucoma to relieve intraocular pressure by removing part of the eye's trabecular meshwork and adjacent structures. (wikipedia.org)
- Before the development of the trabeculectomy, the available surgical methods of intraocular pressure (IOP) reduction had a high rate of serious complications such as hypotony, flat anterior chamber and endophthalmitis. (medscape.com)
- demonstrated that 44.5% of patients who had undergone trabeculectomy augmented with mitomycin C showed a success defined as an intraocular pressure of less than 16 mm Hg after 8 years [ 6 ]. (intechopen.com)
- Both trabeculectomy and canaloplasty can significantly reduce the intraocular pressure in glaucoma patients at 12 months after operation, trabeculectomy leads a more marked IOP decrease than canaloplasty at the cost of a higher complication rate and more demanding for postoperative care. (oncotarget.com)
- Trabeculectomy has proven to reduce intraocular pressure in three out of four patients, but many people need more trabeculectomy surgery as well as other glaucoma treatments. (memorialsameday.com)
- A perfectly performed trabeculectomy can fail to lower intraocular pressure (IOP), even if mitomycin C has been used, because of pre-existing conjunctival scarring. (ophthalmologytimes.com)
- Description: Intraocular pressure reduction in a pigmentary glaucoma model by Goniotome Ab interno trabeculectomy. (uitm.edu.my)
- Glaucoma Surgery Calculator: Limited Additive Effect of Phacoemulsification on Intraocular Pressure in Ab Interno Trabeculectomy. (uitm.edu.my)
- Comparison of intraocular pressure fluctuations before and after ab interno trabeculectomy in pseudoexfoliation glaucoma patients by: Tojo N, et al. (uitm.edu.my)
- AIM: To analyze the outcomes in uveitic activity and intraocular pressure(IOP)control after trabeculectomy for uveitis with uncontrolled IOP. (hku.hk)
- Uveitic activity, frequency of recurrence, steroid dependence, and intraocular pressure control were compared with paired t-test before and after trabeculectomy. (hku.hk)
- PURPOSE: To compare the results of combined trabeculectomy with phacoemulsification and posterior chamber intraocular lens (IOL) implantation to those of trabeculectomy alone using mitomycin C (MMC) application intraoperatively in all cases. (tau.ac.il)
- Four patients had cataract extraction and a posterior chamber intraocular lens implant, one had repositioning of a previously implanted anterior chamber intraocular lens that had become dislocated, and one had a trabeculectomy filtering procedure for glaucoma. (cdc.gov)
Trabectome3
- Trabeculectomy ab interno (Trabectome) yet another possibility in the treatment of uncontrolled glaucomatocyclitic crises under systemic ganciclovir therapy. (uk.com)
- Ab interno trabeculectomy with Trabectome is associated with a reduction in IOP in both race groups with a similar complication and survival profiles. (aku.edu)
- Methods: This prospective study enrolled patients undergoing trabeculectomy, trabeculotomy (with Trabectome® or Kahook Dual Blade®), viscocanaloplasty and Ahmed or Baerveldt implants. (mendeley.com)
Supervised trabeculectomy surgery1
- The aim is to determine the safety of supervised trabeculectomy surgery performed by trainee ophthalmologists. (edgehill.ac.uk)
Glaucoma surgery2
- Trabeculectomy is a type of glaucoma surgery performed on the eye that creates a new pathway for fluid inside the eye to be drained. (hopkinsmedicine.org)
- Refractive Changes after Glaucoma Surgery - A Comparison between Trabeculectomy and XEN Microstent Implantation. (insel.ch)
Bleb4
- Trabeculectomy is a surgical approach which lowers IOP by shunting aqueous humor to a subconjunctival bleb. (nih.gov)
- Device-modified trabeculectomy techniques are intended to improve the durability and safety of this bleb-forming surgery. (nih.gov)
- Of course, "glaucoma is the curse of long-term follow-up," and with further time and observation we noted some serious complications from trabeculectomy, and many glaucoma doctors became joyless "bleb doctors," dealing with thin, leaking, and occasionally infected blebs, and we soon accumulated a cadre of unhappy bleb patients despite good IOP control. (keogt.com)
- There were no cases of bleb leakage in the combined group and two cases (6%) in the trabeculectomy group. (tau.ac.il)
Surgery13
- If the trabeculectomy surgery leads to too much drainage of fluid inside the eye, the eye pressure can become too low. (hopkinsmedicine.org)
- This can be temporary, or it can require additional surgery to revise the trabeculectomy. (hopkinsmedicine.org)
- Trabeculectomy is known to speed up the formation of cataracts, but surgery is a common and highly successful way to address this issue. (hopkinsmedicine.org)
- Objectives: To define the safety profile of trainee trabeculectomy surgery in the United Kingdom. (edgehill.ac.uk)
- Methods: Retrospective case note review of all patients that had trabeculectomy surgery with MMC by consultant and trainee surgeons across multiple UK centres. (edgehill.ac.uk)
- Trabeculectomy surgery is used for a type of glaucoma called open-angle . (healthline.com)
- However, while MIGS is a shorter surgery and has less risk of complications, some experts argue that it isn't as effective as gold standard procedures like the trabeculectomy and that there isn't enough long-term data yet. (healthline.com)
- Although it is normally indicated for eyes that have not undergone previous filtrating surgery for glaucoma, canaloplasty is a viable alternative surgical option for a select number of eyes in which postoperative gonioscopic examination shows that the initial 'trabeculectomy' had been performed anterior to the trabecular structures - in other words, had in fact been a sclero-keratectomy - and that Schlemm's canal had been left intact. (ophthalmologytimes.com)
- Filtration surgery, also called trabeculectomy, is a treatment for several types of glaucoma including open-angle and narrow-angle glaucoma . (metropolitaneyecenter.com)
- Cochrane Abstracts , Evidence Central , evidence.unboundmedicine.com/evidence/view/Cochrane/432768/all/Antimetabolites_in_cataract_surgery_to_prevent_failure_of_a_previous_trabeculectomy:_Cochrane_systematic_review. (unboundmedicine.com)
- The Collaborative Initial Glaucoma Treatment Study found that glaucoma patients who were initially treated with trabeculectomy were 8 times more likely to need early cataract surgery than those patients who were initially treated with medications. (aao.org)
- His other areas of clinical interest include glaucoma filtering surgery (trabeculectomy) and glaucoma drainage implants for advanced glaucoma disease and refractory glaucoma. (scripps.org)
- Patients on maximally tolerated medical therapy with uncontrolled IOP, and scheduled to undergo laser trabeculoplasty or trabeculectomy surgery were enrolled into a double-masked, placebo-controlled, multicenter clinical trial to determine if IOPIDINE ® (apraclonidine ophthalmic solution) 0.5%, dosed three times daily, could delay the need for surgery for up to three months. (nih.gov)
Perform a trabeculectomy1
- 5. Intraoperative complications: such as excessive hyphema, inability to perform a trabeculectomy flap, positive seidel, or posterior capsular rupture. (who.int)
Outcomes1
- Conclusions: The outcomes of supervised trainee trabeculectomy compare favourably with consultant cases after 2 year follow up. (edgehill.ac.uk)
Underwent3
- A total of 113 glaucoma patients who underwent trabeculectomy from January 2013- December 2015 at the eye department at KCMC was included. (or.tz)
- A total of 164 patients (82 AA and 82 Caucasian) who underwent ab interno trabeculectomy over an 8-year period were included in this prospective, case-control study. (aku.edu)
- He underwent Trabeculectomy in RE as IOP could not be controlled medically. (pediatriconcall.com)
Canaloplasty2
- We assess the efficacy and safety of canaloplasty and trabeculectomy for treatment of glaucoma. (oncotarget.com)
- The canaloplasty group showed higher success rate than trabeculectomy group (RR = 0.86, 95%CI: 0.77-0.97). (oncotarget.com)
Phacoemulsification2
- This scenario is now seen more frequently, especially in eyes in which an emport-piece trabeculectomy is associated with a one-site phacoemulsification. (ophthalmologytimes.com)
- however, the functional and anatomical results of the combined procedure of phacoemulsification, posterior chamber IOL implantation, and trabeculectomy with MMC application were as good as those of trabeculectomy alone with MMC. (tau.ac.il)
Subconjunctival3
- Trabeculectomy involves the creation of a fistula connecting the anterior chamber and the subconjunctival space. (medscape.com)
- Trabeculectomy can be performed under local anesthesia (retrobulbar, peribulbar, subconjunctival, or topical) or general anesthesia depending on patient and surgeon preference, on the patient's general health status, and on the estimated duration of the procedure for that particular case. (medscape.com)
- A spatula is placed from the anterior chamber through the trabeculectomy sclerostomy into the subconjunctival space. (willseye.org)
Interno trabeculectomy1
- Angle stability and outflow in dual blade ab interno trabeculectomy with active versus passive chamber management. (uitm.edu.my)
Implantation3
- Functional Monitoring after Trabeculectomy or XEN Microstent Implantation Using Spectral Domain Optical Coherence Tomography and Visual Field Indices - A Retrospective Comparative Cohort Study. (insel.ch)
- Implantation of XEN After Failed Trabeculectomy: an Efficient Therapy? (insel.ch)
- Two year functional and structural changes - A comparison between Trabeculectomy and XEN microstent implantation using spectral domain optical coherence tomography. (insel.ch)
Goniotomy1
- It includes goniotomy, trabeculectomy, and laser perforation. (curehunter.com)
Versus1
- This represents a 31.5% reduction in IOP in the combined group versus a 48.5% reduction in the trabeculectomy alone group (P=0.0001). (tau.ac.il)
Patients6
- A small subset of patients may require trabeculectomy if the eyedrops and/or laser therapy do not lower the eye pressure enough, or if there is allergy or other barriers to using eye drops. (hopkinsmedicine.org)
- Prolonged hypotony-induced maculopathy is a serious complication of trabeculectomy with adjunctive mitomycin C. We performed trabeculectomies with intraoperative mitomycin C on 59 eyes of 52 consecutive patients. (nih.gov)
- METHODS: The medical records of consecutive uveitic glaucoma patients undergoing trabeculectomy between October 2006 to March 2011 were retrospectively reviewed. (hku.hk)
- RESULTS: In 29 eyes from 29 patients, 90% of eyes were on topical steroids at the time of trabeculectomy. (hku.hk)
- PATIENTS AND METHODS: A retrospective comparative study of consecutive patients was conducted on two groups: 102 eyes of 90 patients studied in the combined procedure group, and 33 eyes of 30 patients in the trabeculectomy alone group. (tau.ac.il)
- Evaluation of machine learning algorithms for trabeculectomy outcome prediction in patients with glaucoma. (cdc.gov)
Complications3
- Serious postoperative complications are not infrequently associated with trabeculectomy [ 2 - 5 ]. (intechopen.com)
- Particularly for trabeculectomy, astute management of intraoperative and postoperative complications can divert failure and create a successful outcome. (elsevierpure.com)
- Thus, "tube cures" are now replacing "trabeculectomy cures" for POAG in many places, although others are observing longer-term failures of certain tubes with their own complications, etc. (keogt.com)
Mitomycin1
- Our titration of the exposure time to mitomycin C may have reduced, but did not eliminate, the risk fo prolonged hypotony-induced maculopathy, and further study is needed to establish the optimum protocol for the use of this drug as an adjunct to trabeculectomy. (nih.gov)
Glaucomas1
- CONCLUSION: Uveitic activity and IOP control improved after trabeculectomy with a lower success rate to primary glaucomas. (hku.hk)
Flap4
- Some surgeons prefer adjustable flap sutures during the trabeculectomy that can be loosened later on with forceps in a slit lamp office procedure. (wikipedia.org)
- The left drawing of trabeculectomy shows the conjunctiva folded back with a flap made part-way through the sclera. (hopkinsmedicine.org)
- When performing trabeculectomy, an eye surgeon creates a flap in the sclera - the white part of the eye - underneath the upper eyelid. (hopkinsmedicine.org)
- The great advance of trabeculectomy perhaps 70 years later really consisted of still just "putting a hole in the eye," but now under a guarded scleral flap. (keogt.com)
Sclerostomy1
- Anterior chamber opening/sclerostomy: A trabeculectomy punch (eg, Kelly) is recommended for more precise and controlled excision of the corneal block (sometimes inaccurately called the trabecular block) but this step can also be performed using forceps, a blade, and Vannas scissors. (medscape.com)
Intraoperative2
- We observed severe intraoperative bleeding in 8 eyes (9%) and found that concomitant diseases such as the history of a deep vein thrombosis or peripheral arterial occlusive disease, and the type of surgical procedure (trabeculectomy and viscocanaloplasty) were significantly associated with severe bleeding events. (mendeley.com)
- Conclusion: According to the results of our study cohort, glaucoma procedures entailing scleral manipulations (trabeculectomy and viscocanaloplasty) and concomitant diseases such as the history of a deep vein thrombosis or peripheral arterial occlusive disease influence the risk of severe intraoperative bleeding events, we detected no increased risk related to concomitant antiplatelet and/ or anticoagulant medication use. (mendeley.com)
Aintree1
- Aintree: Trabeculectomy Training in England: Are We Safe at Training? (edgehill.ac.uk)
Surgical success1
- Purpose: To determine surgical success of trabeculectomy at KCMC from January 2013 to December 2015. (or.tz)
Procedures1
- The Effect of Antiglaucoma Procedures (Trabeculectomy vs. Ex-PRESS Glaucoma Drainage Implant) on the Corneal Biomechanical Properties by: Aristeidis Konstantinidis, et al. (uitm.edu.my)
Procedure3
- Trabeculectomy has been a standard procedure for medically uncontrollable glaucoma [ 1 ]. (intechopen.com)
- Trabeculectomy is a surgical procedure to remove part of the trabeculum in the eye to reduce pressure caused by glaucoma. (memorialsameday.com)
- A trabeculectomy is a major procedure. (healthline.com)
Aqueous1
- Flow of aqueous after a trabeculectomy. (medscape.com)
Types of glaucoma1
- Trabeculectomy can be performed for all types of glaucoma. (medscape.com)
Intervention1
- Trabeculectomy may be considered as a possible early intervention of active uveitis with high IOP for pressure and uveitic activity control. (hku.hk)
Medication1
- The mean 1y post-trabeculectomy IOP was 13.1±4.5mmHg with 44.8% of eyes with IOP≤21mmHg without medication. (hku.hk)
Therapy1
- The risks and potential benefits of trabeculectomy must be weighed against the risks and potential benefits of the patient's current therapy (if any). (medscape.com)
Treatment2
- The challenge lies in deciding when to choose trabeculectomy over other treatment methods that are appropriate for a particular case. (medscape.com)
- Trabeculectomy has been the surgical treatment of choice for uncontrolled glaucoma over the past several decades. (elsevierpure.com)
Success1
- Cairns was the first to report success using the trabeculectomy in 1968. (medscape.com)