Chirurgie der Glaukome

Mackensen, G; Harms, H.

doi:10.1007/978-3-642-72939-3_15

Cited by 4 publications

(7 citation statements)

References 491 publications

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“…A number of articles have investigated the efficacy of trabeculotomy [1,10,11,20,21,24,25,30,33,36,40,44,46] and modifications of trabeculotomy [5,6,14,17,18,26,32,35,41] in congenital glaucoma, as well as goniotomy [15,16,19,29,31,37,48] and modifications of goniotomy [28,53]. In our own retrospective comparative study we found a comparable efficacy of trabeculotomy and goniotomy [39].…”

Section: Introductionsupporting

confidence: 51%

Correlation of postoperative axial length growth and intraocular pressure in congenital glaucoma – a retrospective study in trabeculotomy and goniotomy

Kiefer¹,

Schwenn

Grehn

2001

Graefe's Arch Clin Exp Ophthalmol

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Section: Introductionsupporting

confidence: 51%

Correlation of postoperative axial length growth and intraocular pressure in congenital glaucoma – a retrospective study in trabeculotomy and goniotomy

Kiefer¹,

Schwenn

Grehn

2001

Graefe's Arch Clin Exp Ophthalmol

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“…Trabeculotomy is considered an adequate procedure in congenital glaucoma by many other surgeons [22,28,29]. A number of articles on trabeculotomy have been published during the past decades in primary and secondary congenital glaucoma [1,5,11,12,14,22,26,28,34,[38][39][40][41] and in adults [8,10,16,[23][24][25][44][45][46].…”

Section: Discussionmentioning

confidence: 99%

“…Later, in 1966, Harms [21] described a modified technique of trabeculotomy which has became popular in Europe in the past three decades. Modifications have been described by several authors [20,29,32,33]. The main advantage of trabeculotomy over goniotomy is that trabeculotomy can be performed even if the cornea is hazy and the chamber angle cannot be seen.…”

Section: Introductionmentioning

confidence: 99%

Trabeculotomy in congenital glaucoma

Meyer

Schwenn²,

Pfeiffer³

et al. 2000

Graefe's Archive for Clinical and Experimental Ophthalmology

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“…Partial or complete conjunctival flaps are employed much more seldom nowadays than in earlier decades. They are indicated almost exclusively for chronic and painful conditions of the corneal surface that require a permanent solution 2 .…”

Section: Discussionmentioning

confidence: 99%

“…These chronic conditions include corneal ulceration with poor healing and unfavourable host cornea, corneal processes with liquefaction in susceptible patients, poor follow-up capability and also painful bullous keratopathy 1 , 2 , 3 , 4 .…”

Section: Introductionmentioning

confidence: 99%

Treatment of Chronic and Painful Corneal Defects with a Complete or Partial Conjunctival Flap

Kohlhaas

Perdikakis

Vastardis

et al. 2020

Klin Monbl Augenheilkd

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Background The coverage of chronic and painful corneal defects with a complete or partial conjunctival flap is a surgical practice that is still applied to advanced stage of keratopathies, which insist despite repeated treatments with a therapeutic contact lens, corneal transplantation or amniotic membrane transplantation. Material and Methods 37 cases of refractory corneal defects were treated between January 2006 and December 2019 with conjunctival flap. 27 cases underwent a complete and 10 cases a partial conjunctival flap. The mean age of the patients (n = 37, 23 women and 14 men subjects) was 73 years (23 – 87 years). Unsuccessful efforts of intensive conservative treatment and repetitive surgical procedures for several weeks or even months ended up to the indication of performance of a conjunctival flap. Conjunctival flap was performed using the Gundersen technique. A very thin flap of the upper bulbar conjunctiva is dissected downward towards the limbus without creating buttonholes. When the limbus is reached, the resultant flap is freed and without tension it is pulled over the corneal defect and sutured with nylon sutures placed at the limbus (complete conjunctival flap) or at the stroma of healthy cornea (partial conjunctival flap). Results This kind of conjunctival flap has low rates of complication. The postoperative follow-up after the partial or complete conjunctival flap was satisfying in 34 cases and showed a good healing process without major complications. Partial conjunctival flap shrinkage was observed in 3 cases, which could be revised in 2 of them. One case underwent enucleation, because of recurrent severe keratopathy. Conclusion Conjunctival flap is an established surgical procedure that is applied rarely. The more frequent performance of this technique is suggested as it consists the ultima ratio for the treatment of refractory neurotrophic keratitis and non-healing epithelial defects.

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Chirurgie der Glaukome

Cited by 4 publications

References 491 publications

Correlation of postoperative axial length growth and intraocular pressure in congenital glaucoma – a retrospective study in trabeculotomy and goniotomy

Correlation of postoperative axial length growth and intraocular pressure in congenital glaucoma – a retrospective study in trabeculotomy and goniotomy

Trabeculotomy in congenital glaucoma

Treatment of Chronic and Painful Corneal Defects with a Complete or Partial Conjunctival Flap

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