Abstract
Non-penetrating procedures have recently gained attention within the scientific community. An at times fierce debate concerning their role as a successor to the gold standard, trabeculectomy, has revolved around its relative effectiveness in short-to medium-term intraocular pressure control. Several controlled clinical trials, comparing both surgical procedures in terms of long-term IOP control, safety, and visual outcomes are underway and some short-to medium-term results are already available [4, 14]. However, we must remember that the goal of any glaucoma surgery is: (a) to reach the “guess” timated target IOP in the individual patient, (b) without threatening the patient’s visual function, and (c) at a sustainable cost for the community. We will discuss what penetrating and non-penetrating surgery can offer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Carassa R, Bettin P (2003) Viscocanalostomy vs trabeculectomy. A two-year clinical trial. Ophthalmology 110:882–887
Chiou AG, Mermoud A, Jewelewicz DA (1998) Post-operative inflammation following deep sclerectomy with collagen implant versus standard trabeculectomy. Graefes Arch Clin Exp Ophthalmol 236:593–596
Collaborative Normal-Tension Glaucoma Study Group (1998) Comparison of glaucomatous progression between untreated patients with normal-tension glaucoma and patients with therapeutically reduced intraocular pressures. Am J Ophthalmol 126:487–497
El Sayyad F, Helal M, El-Kholify H, Khalil M, El- Maghraby A (2000) Nonpenetrating deep sclerectomy versus trabeculectomy in bilateral primary open-angle glaucoma. Ophthalmology 107: 1671–1674
Gandolfi SA and Cimino L (2000) Deep sclerectomy without absorbable implants and with unsutured scleral flap: prospective, randomised 2-year clinical trial vs. trabeculectomy with releasable sutures. Inv Ophthalmol Vis Sci (ARVO Suppl), S83
Hamel M, Shaarawy T, Mermoud A (2001) Deep sclerectomy with collagen implant in patients with glaucoma and high myopia. J Cataract Refract Surg 27:1410–1417
Haynes WL, Alward WM (1999) Control of intraocular pressure after trabeculectomy. Surv Ophthalmol 43:345–355
Johnson DH, Johnson M (2002) Glaucoma surgery and aqueous outflow: how does nonpenetrating glaucoma surgery work. Arch Ophthalmol 120:67–70
Karlen ME, Sanchez E, Schnyder CC, Sickenberg M, Mermoud A (1999) Deep sclerectomy with collagen implant: medium term results. Br J Ophthalmol 83:6–11
Kim CY, Hong YJ, Seong GJ, Koh HJ, Kim SS (2002) Iris synechia after laser goniopuncture in a patient having deep sclerectomy with a collagen implant. J Cataract Refract Surg 28:900–902
Kozobolis VP, Christodoulakis EV, Tzanakis N, Zacharopoulos I, Pallikaris IG (2002) Primary deep sclerectomy versus primary deep sclerectomy with the use of mitomycin C in primary open-angle glaucoma. J Glaucoma 11:287–293
Lichter PR, Musch DC, Gillespie BW, Guire KE, Janz NK, Wren PA, Mills RP (2001) Interim clinical outcomes in the Collaborative Initial Glaucoma Treatment Study comparing initial treatment randomized to medications or surgery. Ophthalmology 108:1943–1953
Marchini G, Marraffa M, Brunelli C, Morbio R, Bonomi L (2001) Ultrasound biomicroscopy and intraocular-pressure-lowering mechanisms of deep sclerectomy with reticulated hyaluronic acid implant. J Cataract Refract Surg 27:507–517
Mermoud A, Schnyder CC, Sickenberg M, Chiou AG, H¨¦diguer SE, Faggioni R (1999) Comparison of deep sclerectomy with collagen implant and trabeculectomy in open-angle glaucoma. J Cataract Refract Surg 25:323–331
Nuyts RM, Greve EL, Geijssen HC, Langerhorst CT (1994) Treatment of hypotonous maculopathy after trabeculectomy with mitomycin C. Am J Ophthalmol 118:322–331
Ravinet E, Tritten JJ, Roy S, Gianoli F, Wolfens-berger T, Schnyder C, Mermoud A (2002) Descemet membrane detachment after nonpene-trating filtering surgery. J Glaucoma 11:244–252
Sanchez E, Schnyder CC, Mermoud A (1997) Comparative results of deep sclerectomy transformed to trabeculectomy and classical trabeculectomy. Klin Monatsbl Augenheilkd 210:261–264
Sanchez E, Schnyder CC, Sickenberg M, et al. (1997) Deep sclerectomy: results with and without collagen implant. Int Ophthalmol 20:157–162
Shaarawy T, Karlen M, Schnyder C, Achache F, Sanchez E, Mermoud A (2001) Five-year results of deep sclerectomy with collagen implant. J Cataract Refract Surg 27:1770–1778
Stamper RL, McMenemy MG, Lieberman MF (1992) Hypotonous maculopathy after trabeculectomy with subconjunctival 5-fluorouracil. Am J Ophthalmol 114:544–553
Tan JC, Hitchings RA (2001) Non-penetrating glaucoma surgery: the state of play. Br J Ophthalmol 85:234–237
The AGIS Investigators (2000) The advanced glaucoma intervention study, 6: effect of cataract on visual field and visual acuity. Arch Ophthalmol 118:1639–1652
The AGIS Investigators (2001) The Advanced Glaucoma Intervention Study, 8: risk of cataract formation after trabeculectomy. Arch Ophthalmol 119:1771–1780
The Fluorouracil Filtering Surgery Study Group (1996) Five-year follow-up of the Fluorouracil Filtering Surgery Study. Am J Ophthalmol 121:349–366
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Gandolfi, S.A., Cimino, L. (2004). Non-penetrating vs Penetrating Surgery of Primary Open-Angle Glaucoma. In: Glaucoma. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18633-2_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-18633-2_14
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-40608-2
Online ISBN: 978-3-642-18633-2
eBook Packages: Springer Book Archive