Three eyes 4, 11, 17 were failing early within two months and had bleb revision with a concurrent cyclodialysis. Part 2 Adult onset glaucomas: preoperative preparation and anaesthesia for glaucoma surgery; selection of surgical procedure; angle closure glaucoma; surgery for primary and secondary open angle and chronic closed angle glaucoma; glaucoma and cataract; management of secondary glaucoma; alloplastic devices in glaucoma surgery; setons; complications following filtration surgery and their management; laser surgery. There were 12 adult aphakic eyes with secondary glaucoma, five of which were open angle, and six phakic eyes with closed angle glaucoma, two acute and four secondary. This significant improvement in visual acuity was due to resolution of corneal edema. Ridgeway11 reported a series of seven eyes with neovascular and other secondary glaucoma treated by trabeculectomy with one 14% successful result.
The incision is extended into the anterior chamber. Preface v Biography xi Contributors xiii Section I Surgical Techniques Indications, Pre-operative Evaluation, and Outcomes of Filtering Surgery 3 10 Arthur J. We report the surgical results in various types of severe glaucoma. A peripheral iridectomy is performed, the scleral flap is left unsutured, and the conjunctival flap is sutured. Trope Management of a Flat Chamber with Low Intraocular Pressure Management of the Leaking Bleb 217 8 Andrew C. Five eyes 16% lost two or more lines of visual acuity, due to: malignant glaucoma which required drainage, one eye, 3 , progression of cataract, one eye, 20 , and no detectable cause, three eyes, one aphakic 6. The conjunctival flap button-holed in one eye and healed spontaneously.
The incidence of flat anterior chambers in these studies were 16% and 6%, respectively. Trope Full-Thickness Filtering Glaucoma Surgery 93 8 Maurice H. Schenker with permission of the publisher, Williams and Wilkins, Baltimore, Maryland, U. Am J Ophthalmol 1958; 45:220. Trope Encapsulated Bleb 179 8 Adael S. Of these 12 eyes, ten 83% were successfully treated by subscleral Scheie with four eyes requiring anterior vitrectomy at surgery. Schenker with permission of the publisher, Williams and Wilkins, Baltimore, Maryland, U.
The one failure was an aphakic eye. The preferred filtering operation for glaucoma is trabeculectomy because of its lower incidence of shallow or flat anterior chambers. Trope Modern Anesthesia for Adult Glaucoma Filtration Surgery 17 14 Monica M. Schenker with permission of the publisher Williams and Wilkins, Baltimore. Late reformation of the anterior chamber is a complication of any fistulizing procedure.
Taken from Glaucoma Surgery by Maurice H. Trope Glaucoma Suture Lysis 145 6 Graham E. Late reformation of the anterior chamber is a complication of any fistulizing procedure. While at Mount Sinai, he honed his specialization in glaucoma, conducting high level research in areas such as the control of intraocular pressure. Br J Ophthalmol 1974; 56:511. Trope Ultrasound Biomicroscopy in Glaucoma Surgery 119 16 Charles J. Anterior chamber entry is accomplished by knife dissection.
Title: Clinical Professor Emeritus Company: Mount Sinai School of Medicine Location: New York, New York, United States Maurice H. He is a leading authority on the treatment and control of glaucoma and he participates in numerous clinical drug research studies. Two aphakic eyes were included; the operation failed in both. In the diagram the scleral flap is drawn proportionately longer for the sake of clarity. Five of the 13 successful eyes, and one of the failures had previous filtering surgery.
Of the phakic eyes 45% had previous failed trabeculectomies. The text also describes in detail the indications and techniques for the use of antimetabolites for bleb enhancement, and the management of surgical complications. Taken from Glaucoma Surgery by Maurice H. At the base of this flap a 1A thickness 5 mm long and 1 mm wide scleral flap, parallel to the limbus is dissected using 7x magnification. The remainder of the eyes included two with acute angle closure glaucoma, one with angle recession glaucoma, two juvenile glaucoma and nine adult open angle glaucoma. The success rate is comparable to success rates using more extensive surgical procedures, such as Molteno implant or surgical trabeculectomy.
Postoperative hyphema in one eye 29 resolved on the second day. Schenker moved to Rochester in 1980, joining Dr. Trope Management of High Intraocular Pressure with a Deep Chamber Massage: Techniques and Complications 139 6 Yvonne M. Trope Advances in the Modulation of Wound Healing Including Large Treatment Areas and Adjustable Sutures: The Moorfields Safe Surgery System 31 14 Peng Tee Khaw Graham E. Aqueous flows from the anterior chamber A through the fistula F under the lamellar scleral flap D to the subconjunctival space B forming a subconjunctival bleb indicated by the dotted lines.