[Ab externo sclerostomy with the Er:YAG laser: report of outcome after 2 years].

Abstract:

OBJECT:Results over a period of 24 months of performing the Er:YAG laser ab externo sclerostomy. MATERIAL AND METHODS:The procedure was performed 81 times (chronic glaucoma with open angle (n = 55) and narrow angle (n = 15), 6 secondary glaucoma, 4 pigment glaucoma, 1 normal pressure glaucoma) in 74 eyes of 64 patients at the age of 70 +/- 10 years without any peribulbar anesthesia. The pulse energy was 11 mJ with a repetition rate of 7 Hz. Antimetabolites were not applicated. Success was defined as an IOP of less than 22 mm Hg or a decrease of at least 30%, with or without anti-glaucoma medication. RESULTS:The mean IOP of all cases decreased from preoperatively 28 +/- 8.1 mm Hg (Success group: 26.7 +/- 7.3 mm Hg) to 15 +/- 8.4 mm Hg (Success group: 14.6 +/- 7.8 mm Hg) on the first postoperative day. The success rate was about 50% within the period of two weeks to six months and decreased to about 15% in the 24th month. Complications were iris incarceration/synechia (n = 33), hypotony (n = 36) with consequent choroidal detachment (n = 8), hyphema (n = 19) and more pronounced inflammation symptoms (n = 10). In most cases, the early postoperative outflow failure is caused by iris incarceration into the internal ostium. The scarring tendency of the episcleral tissue leads to closure of the external ostium after months. Resurgery was necessary in 26 cases. CONCLUSIONS:Further efforts should be directed to maintain the intact corneoscleral morphology of the canal, created by an optimized method of the surgical technique. The application of antimetabolites in correct dosage or the implantation of modified silicon draining systems would be helpful.

journal_name

Klin Monbl Augenheilkd

authors

Kampmeier J,Klafke M,Hibst R,Wierschin S,Schütte E,Steiner R

doi

10.1055/s-2008-1035199

subject

Has Abstract

pub_date

1996-04-01 00:00:00

pages

218-23

issue

4

eissn

0023-2165

issn

1439-3999

journal_volume

208

pub_type

杂志文章
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    pub_type: 杂志文章

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    authors: Huber KK,Plange N,Arend O,Remky A

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  • [Foreign body granuloma after lower eyelid avulsion and surgical revision with silicone tube splint].

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    更新日期:2000-04-01 00:00:00

  • [Clinical and morphological studies in a case of congenital glaucoma combined with an ocular-dental-digital dysplasia (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Lalive d'Epinay S,Remé C

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    pub_type: 杂志文章

    doi:

    authors: Liegl O

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  • [Treatment of herpes simplex keratitis with Vidarabin ointment (author's transl)].

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    pub_type: 临床试验,杂志文章

    doi:

    authors: Egerer I,Drobec P

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  • [Development and first results of fast and cost-effective examination methods for an ophthalmological screening within the National Cohort].

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    pub_type: 杂志文章,多中心研究

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    authors: Leitritz MA,Hense HW,Schiefer U,Nagel M,Greiser H,Linseisen J,Heid I,Fischer B,Thierry S,Bartz-Schmidt KU,Ueffing M

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  • [Optic neuritis].

    abstract::Optic neuritis is a frequent neuro-ophthalmological disease in which the diagnosis can be based on just a few symptoms and findings. It is not only important to differentiate from other optic nerve disorders but also to recognise special types of optic neuritis, which is mostly only possible during the course of the d...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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  • [Hemicentral retinal artery occlusion due to oral contraceptives].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-0031-1273197

    authors: Schmidt D,Kramer-Zucker A

    更新日期:2011-08-01 00:00:00

  • [Sturge-Weber syndrome: glaucoma with elevated episcleral venous pressure].

    abstract::The present report describes clinical findings in 13 patients with Sturge-Weber syndrome, 11 of whom had glaucoma (22-52 mm Hg). The episcleral venous pressure (EVP) was high in all glaucomatous eyes (14-23 mm Hg). Tonography showed a marked decrease in outflow facility. The observations suggest that glaucoma in Sturg...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1050508

    authors: Jørgensen JS,Guthoff R

    更新日期:1987-10-01 00:00:00

  • [The search for the right place and for optimal fixation of an intraocular lens (author's transl)].

    abstract::Whereas by far not all properties of the crystalline lens can be realized with an artifical intraocular lens, maximal stability of such a device is its most important feature. The latter can be achieved by the adherence of the lens to the capsular membrane, left behind after extra-capsular cataract extraction. In this...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Binkhorst CD

    更新日期:1979-06-01 00:00:00

  • [Eight years' prismatic treatment of convergent alternating squint (author's transl)].

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    doi:10.1055/s-2008-1057741

    authors: Stangler-Zuschrott E

    更新日期:1980-12-01 00:00:00

  • [Current state of mechanical corneal surgery - results of a questionnaire to members of the cornea section of the German Society of Ophthalmologists].

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    authors: Bergua A

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  • [Comparison between ray-tracing and IOL calculation formulae of the 3rd generation].

    abstract:PURPOSE:The aim of this study was to compare the different calculation methods in large patient collectives, including eyes with extreme axial lengths. METHOD AND MATERIAL:The prediction errors of the Haigis, SRK/T, Hoffer-Q and Holladay formulae and of the OKULIX ray-tracing are compared in 2888 normal eyes implanted...

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    doi:10.1055/s-2008-1027966

    authors: Preussner PR,Hoffmann P,Petermeier K

    更新日期:2009-02-01 00:00:00

  • [Principles of DNA diagnosis].

    abstract::In an ever-increasing number of the more than 4000 known genetic diseases with Mendelian inheritance, the geneloci have been mapped. In such cases it is possible to predict by DNA techniques whether or not family members are carriers of the mutation and risk having affected children. Using the same methods, disease ca...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1046167

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    更新日期:1990-05-01 00:00:00

  • Multifocal electroretinogram (mfERG) in a family with occult macular dystrophy (OMD).

    abstract:BACKGROUND:Localized macular dysfunction, in Stargardt macular dystrophy for example, is frequently not detected by Ganzfeld electroretinography (ERG) but it may be detected by methods such as focal macular electroretinogram and pattern electroretinogram at the posterior pole of the eye or indirectly by recording of th...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    authors: Wildberger H,Niemeyer G,Junghardt A

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  • [Orthoptic exercises - a historical survey (author's transl)].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 历史文章,杂志文章

    doi:10.1055/s-2008-1057189

    authors: Dannheim E

    更新日期:1981-03-01 00:00:00

  • [Firework-related eye trauma from 2005 to 2013].

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    authors: Unterlauft JD,Wiedemann P,Meier P

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  • [Fundus changes in Zinsser-Engman-Cole syndrome (author's transl)].

    abstract::A case of Zinsser-Engman-Cole syndrome (Dyskeratosis congenita) with severe fundus changes is reported. ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Roth K,Lange CE

    更新日期:1975-05-01 00:00:00

  • [Quiz on an unusual orbital masquerade syndrome].

    abstract:BACKGROUND:After consulting the here presented CT-images of the orbit, the question was raised whether the ocular bulbus was really enucleated or the anamnesis was wrong and a lymphoma existed in the orbit. We will therefore discuss a case of a special follow-up after an enucleation with implantation of a "Bangerter Pl...

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    authors: Gloor B,Schuknecht B,Valavanis A

    更新日期:1995-12-01 00:00:00

  • [Solitary retinal astrocytoma with "acoustic shadowing"].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-2008-1035428

    authors: Seitz B,Jonas JB

    更新日期:1995-03-01 00:00:00

  • [Endophthalmitis after intra-oral block of the infraorbital nerve].

    abstract:BACKGROUND:Most penetrating needle puncture injuries occur in retro- or peribulbar anesthesia. Hereby only a small percentage of patients develop endophthalmitis. Ocular penetration after enoral infraorbital nerve block has not yet been reported in literature. HISTORY AND FINDINGS:In June 1995 a 74-year-old man presen...

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    doi:10.1055/s-2008-1035084

    authors: Weinand FS,Pavlovic S,Dick B

    更新日期:1997-06-01 00:00:00

  • [Perimetry in chiasmal syndrome -Liminal and surpraliminal stimuli (author's transl)].

    abstract::The value of static and kinetic perimetry with white and colored stimuli in chiasmal syndrome seems to be equal. The presentation of evenly moving supraliminal targets allows for an evaluation of sensory disturbance. This procedure is even more subjective, variable and difficult to perform accurately. It may reveal, h...

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    pub_type: 杂志文章

    doi:

    authors: Dannheim F

    更新日期:1977-09-01 00:00:00

  • [EYECUBE as 3D multimedia imaging in macular diagnostics].

    abstract:BACKGROUND:In the new generation of EYECUBE devices, the angiography image and the OCT are included in a 3D illustration as an integration. Other diagnostic procedures such as autofluorescence and ICG can also be correlated to the OCT. The aim was to precisely classify various two-dimensional findings in relation to ea...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:10.1055/s-0031-1273343

    authors: Hassenstein A,Scholz F,Richard G

    更新日期:2011-11-01 00:00:00

  • [Laser treatment for tightening the trabecular meshwork in open-angle glaucoma (trabeculoplasty)].

    abstract::Forty eyes with medically uncontrolled open-angle glaucoma underwent argon laser therapy through 360 degrees of the trabecular meshwork. The mean pressure change in the treated eyes after two weeks showed a decrease of 9.95 mmHg. Thirty-five eyes (87.5%) were clinically controlled (tension less than or equal to 20 mmH...

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    doi:10.1055/s-2008-1055262

    authors: Strasser G,Witzmann K

    更新日期:1982-11-01 00:00:00

  • [Acute corneal endothelial cell loss].

    abstract::Corneal endothelial cell loss may result from endogenic causes, such as acute angle-closure glaucoma, or exogenic causes, such as corneal contusion, corneal perforation or surgery involving the anterior chamber. The extent of endothelial cell loss varies with the severity of trauma. Despite the different causes the re...

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    authors: Mellin KB,Waubke TN

    更新日期:1983-01-01 00:00:00

  • [Intravitreal Ranibizumab Injection for the Treatment of Occult and Classic CNV in Exsudative AMD].

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    pub_type: 杂志文章

    doi:10.1055/s-0029-1245131

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    更新日期:2011-02-01 00:00:00

  • [Treatment of retinal detachment with macular hole: scleral buckling with an absorbable fibrin sponge (author's transl)].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Wollensak J,Engels T

    更新日期:1977-08-01 00:00:00