Surgical Management Of Coexisting Glaucoma And Cataract

Cataract surgery is one of the most frequently performed procedure in the United States, and cataracts are a leading cause of visual impairment in the world. Glaucoma is also a very common eye disease with an expected 3.3 million Americans afflicted with primary open angle glaucoma by 2020. The coexistence of these two diseases is not uncommon and management of a cataract can have significant impact on the glaucoma status of a patient. Cataract surgery textbooks may have one chapter dedicated to the management of cataract with coexistent glaucoma. Likewise, a typical glaucoma surgical text dedicates one chapter to the management of these two diseases concurrently. This book will focus on the treatment of cataract in the setting of glaucoma, using an evidence-based medicine approach. Managing cataracts to the best advantage of the glaucoma should result in the best visual outcomes for patients. It should be a wonderful resource for general ophthalmologists and residents as well as glaucoma fellows.

For patients with both cataracts and glaucoma, the ophthalmic surgeon has a number of options to consider depending on disease states, aged or young patient, and number of medications being prescribed preoperatively. Combined surgery has the advantage of addressing both cataract and glaucoma problems simultaneously and helps to reduce the risk of a

The most comprehensive, up-to-date textbook on Minimally Invasive Glaucoma Surgery Glaucoma affects millions of people worldwide and is the second leading cause of blindness. Major advances in innovative surgical techniques, collectively termed minimally invasive glaucoma surgery (MIGS), have revolutionized the field. These groundbreaking ophthalmic surgery approaches are effective, are not bleb-dependent, and they result in fewer complications. Authored by a Who's Who of prominent experts in the MIGS movement, this book represents the most comprehensive book written to date on the subject. Leading glaucoma surgeons offer unique perspectives and experience gleaned from developing and mastering these state-of-the-art techniques. The first four sections discuss fundamental concepts of eye anatomy and structure, outflow implications, and aqueous production. The remaining sections cover the latest cutting-edge procedures elucidated through text descriptions and case studies, with the final two chapters offering insights into how to best incorporate MIGS into your practice and possibilities for combining MIGS procedures to expand the treatment algorithm for patients with more moderate to advanced disease. Meticulous, step-by-step drawings, photos, and surgical videos further delineate advanced MIGS techniques. Select State-of-the-Art Procedures Trabecular Outflow Trabectome Gonioscopic Assisted Transluminal Trabeculotomy (GATT) Ab Interno 360 Degree Goniotomy (TRAB360) iStent Hydrus Eximer Laser Trabeculoplasty Uveoscleral Outflow Canaloplasty SOLX Gold Shunt CyPass iStent Supra Aqueous Humor Reduction Endoscopic Cyclophotocoagulation Transconjunctival Filtration Aquesys XEN Gel Stent InnFocus Microshunt This remarkable resource will enable ophthalmologists to incorporate cutting-edge MIGS into practice. It is a must have for any clinician who endeavors to advance the treatment of glaucoma.

Renowned experts present the latest knowledge in ... In this volume of Developments in Ophthalmology, a panel of renowned glaucoma surgeons reports its findings and the updated evidence-based literature data on indications, outcomes, pearls and pitfalls of techniques in which they all have an undisputable 'hands-on' everyday experience. The publication begins with chapters on conventional procedures, i.e. trabeculectomy (still the gold standard), deep sclerectomy, and glaucoma drainage device implantation explicitly focusing on postoperative management. The role of the ocular surface in glaucoma surgery and the issue of wound healing and its modulation through antimetabolites are further discussed. In the second part, the attention shifts to new techniques which still have a marginal role, but are promising for particular indications. In the last part, the greatest challenges of glaucoma surgery such as the surgical approach to angle closure, concomitant glaucoma and cataract as well as pediatric glaucoma are discussed in detail. Finally, the last chapter is dedicated to cyclodestructive techniques. This volume is recommended to glaucoma surgeons and glaucoma specialists seeking information on the best therapy for their patients, but also to general ophthalmologists who refer their patients for surgery or follow them up afterwards.

This book presents the principles and pearls for successful surgical management of challenging situations encountered during cataract surgery. A wide range of settings are considered, including cataract surgery in patients with uveitis, traumatic cataract, dislocation of an intraocular lens, intumescent cataract, brunescent cataract, combined cataract and corneal disease, combined cataract and glaucoma, pediatric cataract, and refractive cataract surgery. In addition, preoperative factors conducive to a favorable surgical result are identified and appropriate management of postoperative complications, described. As longevity increases, cataract is becoming an even greater public health issue worldwide. The use of cataract surgery, already one of the most frequently performed surgeries, is consequently increasing still further – a trend reinforced by developments in instrumentation and technology and improvements in access to surgery. However, comorbidities and challenges during surgery are very common. Challenges in Cataract Surgery will be a valuable reference for all residents, fellows, and practicing ophthalmologists who wish to improve their surgical techniques and outcomes.

Complete evidence-based medical and surgical management of glaucoma for both the general ophthalmologist in practice and residents The only book that covers the new generation of glaucoma procedures including trabectome, trabecular bypass and canaloplasty, by the experts who developed them Includes the latest laser treatments for glaucoma including micro diode and titanium saphire trabeculoplasty as well as laser from an external approach The most comprehensive coverage of the optic nerve and the importance of nerve fiber layer hemorrhage Provides an integrated approach to neovascular glaucoma merging treatment to the retina, with the use of new anti-VEGF drugs, tubes, and shunts to achieve the best outcome Integrates clinical science with basic science to outline the next steps in glaucoma therapy