Glaucoma Drainage Devices

This book offers a comprehensive guide to the use of glaucoma drainage devices (GDDs) in various clinical settings, and covers aspects ranging from the basics to managing complications. The aim of this work is to provide readers with a practical go-to desktop book to assist in and enhance their surgical competence with glaucoma drainage devices. Starting with the history of GDDs, it addresses various devices, their models and modifications, and highlights their advantages and disadvantages through numerous illustrations. The indications for the drainage devices are discussed in detail, using patient cases with photographs. The book describes the techniques for all devices in detail, which are explained further in accompanyin videos. After covering the basic techniques, the book provides extensive notes on modifications that may be required in various case presentations such as congenital glaucoma, post-penetrating keratoplasty with extensive peripheral synechiae, and procedure through pars plans etc. Complications and their management are subsequently addressed. The book is an essential guide to help surgeons match patients to the most suitable device, and to support patients from preparation through post-operative care. Primarily intended for glaucoma surgeons, it offers a valuable resource for fellows in training, and all who have an interest in glaucoma surgery.

This comprehensive guide thoroughly covers the characteristics and presentations of childhood glaucoma, as well as all surgical options for treatment. Surgical Management of Childhood Glaucoma: Clinical Considerations and Techniques addresses a variety of surgical methods, ranging from angle surgery with recent modifications to cyclodestruction, reviewing each option’s particular set of advantages and disadvantages, and features illustrations and instructional videos of these techniques. Later chapters consider best-practices to providing surgery in developing countries, surgical considerations for patients with corneal opacities and cataracts, and the impact of glaucoma upon quality of life of pediatric patients. Written by leaders in the field of ophthalmology, this book offers readers an exceptional resource on the evaluation and surgical management of childhood glaucoma.

The first edition of this volume, published in 2012, has become an indispensable reference for clinicians, a fact that inspired the making of this 2nd edition. The book starts with a discussion of current achievements and limitations of the medical therapy of glaucoma. The focus is then placed on conventional glaucoma procedures such as trabeculectomy, deep sclerectomy, and glaucoma drainage device surgery. A chapter is dedicated to the postoperative management of filtering procedures. Further chapters review the role of the ocular surface and the issue of modulation of the scarring processes in glaucoma surgery. The second section covers some promising new devices and techniques. The final part addresses the surgical approaches to some specific clinical challenges: angle-closure glaucoma, concomitant cataract and glaucoma, pediatric glaucoma, and refractory glaucomas. This volume provides residents and general ophthalmologists with valuable new insights into the fascinating and sometimes complex aspects of glaucoma surgery. It will also assist glaucoma specialists when they review and validate therapeutic approaches with their patients.

This book aims to provide the readers with an up-to-date and evidence-based management approach for primary angle closure glaucoma (PACG), which makes effective and safe use of all the interventions currently available. The book presents to the glaucoma subspecialists and the general ophthalmologists a clear and concise introduction to the latest advances in the management of primary angle closure glaucoma (PACG), from the latest imaging technologies to objectively quantify the drainage angle closure and structural glaucomatous progression, to an up-to-date review of the laser and surgical options for treating PACG. The laser and surgical interventions include laser peripheral iridotomy, laser peripheral iridoplasty, lens extraction alone or in combination with other glaucoma surgery, filtration surgery (including minimally-invasive and non-penetrating variants), goniosynechialysis (GSL), glaucoma drainage device implantation, and cyclodestructive procedures. This informative book, written based on the authors’ vast clinical, teaching, and research experience in this field, will offer the readers in-depth and useful resources on PACG.

The book is provided open access under a CC BY 4.0 license. This book covers all aspects of minimally invasive glaucoma surgery (MIGS) and provides detailed information on each MIGS device, including its mechanism of action; patient selection; implantation techniques; post-operative management; and a review of the existing literature. Step-by-step descriptions are provided for the surgical technique used in implanting each MIGS device, accompanied by clear photographs of each surgical stage. Other areas covered include intra-operative gonioscopy (with tips on optimising the view of the anterior chamber angle) and the management of the intra-operative and post-operative complications. Essential information on the anatomy and physiology of the different aqueous outflow pathways is also included. A separate chapter addresses the introduction of MIGS globally, including the consideration of different reimbursement environments and the different types of glaucoma, e.g. angle closure glaucoma. This book will assist both glaucoma surgeons and general ophthalmologists in overcoming the learning curve involved in performed MIGS, by providing valuable and practical clinical pearls.

140 pages with 9 tables and 2 figures, of which 1 in full color.