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Surgical Management of Normal Tension Glaucoma

  • Chapter
Advanced Glaucoma Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

Normal tension glaucoma is a progressive optic neuropathy that poses technical complexity in management to prevent vision loss. Surgical intervention is necessary when visual field progression is noted or imminent. Trabeculectomy with adjunct use of the anti-scarring agent mitomycin-C is the treatment of choice in achieving a target intraocular pressure to preserve vision in normal tension glaucoma patients. This subset of patients is at a relatively higher risk for dense visual field defects and postoperative surgical management is key to success for the patient and the surgeon. Other surgical interventions can be of aid in combination with each other or with traditional trabeculectomy and antimetabolite treatment to prevent fibrosis; however, these surgeries have not definitively resulted in intraocular pressures low enough to reach a desired target in normal tension glaucoma patients.

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Acknowledgments

Conflict of interest: None to disclose

Compliance and ethical requirements: No animal or human studies were carried out by the authors for this article.

Compliance with ethical requirements: Dr. Khodadadeh and Dr. Tsai declare that they have no conflict of interest. No animal or human studies were carried out by the authors for this article.

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Authors and Affiliations

  1. Center for Advanced Eye Care, Vero Beach, FL, USA

    Sarah S. Khodadadeh M.D.

  2. New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA

    James C. Tsai M.D., M.B.A.

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  1. Sarah S. Khodadadeh M.D.
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  2. James C. Tsai M.D., M.B.A.
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Correspondence to Sarah S. Khodadadeh M.D. .

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Editors and Affiliations

  1. Illinois Eye & Ear Infirmary, University of Illinois at Chicago School of Medicine, Chicago, Illinois, USA

    Ahmad A. Aref

  2. Southern California, LA, CA, USA, USC Eye Ins.Dept. of Ophth. Univ.of Southern California, LA, CA, USA, California, California, USA

    Rohit Varma

10.1 Electronic Supplementary Material

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Trabeculectomy with adjunctive Mitomycin-C; Sarah Khodadadeh, MD and James C. Tsai, MD, MBA (MV4 89,683 kb)

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Khodadadeh, S.S., Tsai, J.C. (2015). Surgical Management of Normal Tension Glaucoma. In: Aref, A., Varma, R. (eds) Advanced Glaucoma Surgery. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-18060-1_10

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  • DOI: https://doi.org/10.1007/978-3-319-18060-1_10

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