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Deze abstract is toegekend aan sessie BGS: Belgian Glaucoma Society
TitelDon’t delay surgery
DoelTrabeculectomy still remains the most reliable surgical procedure to lower intraocular pressure (IOP) in the vast majority of patients with uncontrolled glaucoma. The typical indication for surgical intervention is progressive glaucomatous damage that is likely to lead to functional impairment during the patient’s lifetime.
MethodesPhysicians now have to estimate the patient’s lifespan and judge what IOP level will help preserve a lifetime of useful visual function.
ResultatenOn the one hand, there are patients in whom progressive of disease has been noted and the likelihood of this causing functional impairment during the patient’lifetime is high. Therefore don’t delay surgery in those patients. On the other hand, a patient with a small nasal step that has slowly progressed over the last 10 years with the pressure in the low 20s may not require any intervention at all. The risks of surgery on this patient probably outweigh the possible benefits. This may temper one’s judgement away from filtration surgery to other methods of pressure reduction that are less invasive.
ConclusieNo matter what the case, it is always useful to remind the patient that glaucoma is treatable but not curable condition. This therapeutic dialogue opens the door to a lifetime of treatment.
Auteur 1
NaamCOLLIGNON
InitialenN
InstituutCHU de Liège
StadLiège
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