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A Need for Innovation in Glaucoma Surgery
Arch Ophthalmol. 2002;120:633.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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IN 1968, the trabeculectomy procedure was introduced as a surgical treatment
for glaucoma.1 Although this procedure was
a major improvement to what was then available in the glaucoma surgical armamentarium,
it has its limitations because of the need to enter the eye.
The past several decades have witnessed major advances in cataract surgery
and vitreoretinal surgery. In stark contrast, there have been relatively minor
advances in glaucoma surgery, and trabeculectomy remains the procedure of
choice for most eyes with glaucoma requiring surgical treatment. One advance
has been the adjunctive use of antifibrotic agents, such as fluorouracil and
mitomycin, with trabeculectomy. These agents have improved the success rate
of trabeculectomy, particularly in eyes at high risk for filtration failure.
However, the need to enter the eye persists as does the potential complications,
some of which are devastating.
Nonpenetrating filtration surgeries—viscocanalostomy and deep
sclerectomy—have recently been advocated by some as preferable to . . . [Full Text of this Article]
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Arch Ophthalmol. 2002;120(5):548-553.
ABSTRACT
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