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Glaucoma is a group of diseases affecting the optic nerve that results in vision loss and is frequently characterized by raised intraocular pressure (IOP). There are many glaucoma surgeries, and variations or combinations of those surgeries, that facilitate the escape of excess aqueous humor from the eye to lower intraocular pressure, and a few that lower IOP by decreasing the production of ...
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. It is the most common glaucoma surgery performed and allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed.
In this procedure aqueous humor from the anterior chamber of eyeball is drained out by using a tuberculin syringe, with or without a plunger attached to a hypodermic needle or a paracentesis incision. [1] Eye is anesthetized using proparacaine or tetracaine eye drops prior to ACP. [5] Paracentesis is performed through the clear cornea adjacent ...
Micro-invasive glaucoma surgery (MIGS) is the latest advance in surgical treatment for glaucoma, which aims to reduce intraocular pressure by either increasing outflow of aqueous humor or reducing its production. MIGS comprises a group of surgical procedures which share common features. [1]
to correct refractive errors of the eye; not invasive Contact lenses: to correct refractive errors of the eye; a little invasive Phoropter: used in refraction testing Tonometers: used to determine the intraoccular pressure (IOP) - useful in glaucoma; video link for various types of tonometers. Speculum: to keep the eyes open during any operation
Trabeculoplasty is a laser treatment for glaucoma. It is done on an argon laser equipped slit lamp, using a Goldmann gonioscope lens mirror. Specifically, an argon laser is used to improve drainage through the eye's trabecular meshwork, from which the aqueous humour drains. This helps reduce intraocular pressure caused by open-angle glaucoma. [1]
Cyclodestruction or cycloablation is a surgical procedure done in management of glaucoma. Cyclodestruction reduces intraocular pressure (IOP) of the eye by decreasing production of aqueous humor by the destruction of ciliary body. Until the development of safer and less destructive techniques like micropulse diode cyclophotocoagulation and ...
In acute angle-closure glaucoma cases, surgical iridectomy has been superseded by Nd:YAG laser iridotomy, because the laser procedure is much safer. Opening the globe for a surgical iridectomy in a patient with high intraocular pressure greatly increases the risk of suprachoroidal hemorrhage, with potential for associated expulsive hemorrhage.
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