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Deze abstract is toegekend aan sessie BGS: Belgian Glaucoma Society
TitelLaser diode cyclodestruction or tube in the treatment of refractory glaucomas
Abstract Nr.127
DoelLaser diode cyclodestruction or tube in the treatment of refractory glaucomas
MethodesTransscleral laser diode cyclophotocoagulation (TLDC) with the G-probe is the procedure of choice for refractory glaucoma when maximal medical therapy, trabeculectomy and drainage implants or tube have a high probability for surgical failure or complications. Prior to TLDC treatment, transillumination of the globe to reveal the location of the ciliary body may be useful, especially in morphologically abnormal eyes.
Aqueous shunting procedures (ASPs) should be considered in patients with failed MMC trabeculectomy and in patients with increased conjunctival scarring. ASPs should also be considered in patients at high risk of MMC-related postoperative complications. These include severe lid margin disease, chronic contact lens wear, and a history of blebitis or bleb-related endophthalmitis.
ResultatenPreoperative visual acuity may impact which of these two treatment modalities are preferred. All other things being equal, ASPs are more commonly used for patients with better visual acuity and/or visual potential relative to TLDC procedures.
ConclusieStrong evidence in support of this practice is not currently available
Auteur 1
NaamCOLLIGNON
InitialenN
InstituutCHU de Liège
StadLiège
Auteur 2
NaamZEYEN
InitialenT
StadLeuven
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