Nonpenetrating glaucoma surgery.

Détails

ID Serval
serval:BIB_4F5854424BAD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Nonpenetrating glaucoma surgery.
Périodique
Survey of Ophthalmology
Auteur⸱e⸱s
Mendrinos E., Mermoud A., Shaarawy T.
ISSN
0039-6257
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
53
Numéro
6
Pages
592-630
Langue
anglais
Résumé
Nonpenetrating glaucoma surgeries have been developed in recent years in order to improve the safety of conventional filtering procedures. The goal of nonpenetrating filtering procedures is to reduce intraocular pressure by enhancing the natural aqueous outflow channels, while reducing outflow resistance located in the inner wall of the Schlemm's canal and the juxtacanalicular trabecular meshwork. In the last few years viscocanalostomy and deep sclerectomy with external trabeculectomy have become the most popular nonpenetrating filtering procedures. Both involve removal of a deep scleral flap, the external wall of Schlemm's canal and corneal stroma behind the anterior trabeculum and Descemet's membrane, thus creating an intrascleral space. The aqueous humour leaves the anterior chamber through the intact trabeculo-Descemet's membrane into the scleral space, from where it will egress into different pathways. The technique is associated with a long learning curve. Published clinical trials comparing nonpenetrating glaucoma surgery to full-thickness trabeculectomy have a consensus on the superior safety profile of nonpenetrating glaucoma surgery but are not in agreement when it comes to efficacy, where conflicting results have been found. This article reviews the nonpenetrating surgical techniques, mechanisms of action, indications, contraindications, complications, and results.
Mots-clé
Anterior Eye Segment/surgery, Anterior Eye Segment/ultrasonography, Aqueous Humor/secretion, Filtering Surgery/methods, Glaucoma/metabolism, Glaucoma/surgery, Humans, Intraocular Pressure, Microscopy, Acoustic
Pubmed
Web of science
Création de la notice
28/01/2008 13:49
Dernière modification de la notice
20/08/2019 15:05
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