Abstract:
:The author summarizes the most effective types of glaucoma surgery in advanced glaucoma. In high pressure advanced glaucoma a low target intraocular pressure is to be set. The most effective method of reaching this target pressure level is mitomycin C trabeculectomy combined with effective pre- and postoperative antiinflammatory treatment. However, in several cases glaucoma filtering surgery gradually fails due to increased episcleral fibrosis. In these cases use of long-tube glaucoma drainage devices is recommended. In Hungary use of the Ahmed implant has provided favourable clinical outcome even in the most complicated, high pressure, advanced glaucoma cases. Modern types of surgical treatment of advanced glaucoma need to be known by non-ophthalmologist physicians for more than a decade. This may help them to propose the optimal treatment modality to their glaucoma patients. :A szerző az előrehaladott glaucomás károsodás esetén hatékony műtéti eljárásokat tekinti át. Magas nyomású, előrehaladott glaucoma esetén alacsony szemnyomás elérése szükséges. Ezt az első műtétként, megfelelő pre- és posztoperatív gyulladásgátló kezelés mellett végzett, mitomycin C-alkalmazással kombinált trabeculectomia biztosítja a legeredményesebben. Sok esetben azonban a glaucomaellenes filtrációs műtét sikertelenné válik a fokozott episcleralis hegesedés miatt. Ilyenkor a hosszú elvezetőcsövű csarnokvíz-elvezető implantátum beültetése a választandó megoldás. Az Ahmed implantátummal Magyarországon több mint egy évtizedes kedvező tapasztalattal rendelkezünk a legkomplikáltabb, magas szemnyomású, előrehaladott glaucomás esetek megoldásában. Az előrehaladott glaucoma korszerű műtéti ellátásának lényegét a nem szemész orvosnak is célszerű ismernie, hiszen a kezelésre vonatkozó tanácsaival segítheti glaucomás betegei optimális ellátását. Orv. Hetil., 2013, 154(52), 2052–2058.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Holló Gdoi
10.1556/OH.2013.29801subject
Has Abstractpub_date
2013-12-29 00:00:00pages
2052-8issue
52eissn
0030-6002issn
1788-6120pii
Y572M06K541434G4journal_volume
154pub_type
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