Managing Complications in Glaucoma Surgery by Carbonaro, Francis -- Read -- Imperial Library of Trantor

Index

Contents 1: Glaucoma Laser

1.1 Lasers That Increase Aqueous Outflow: Argon Laser Trabeculoplasty

1.1.1 Introduction 1.1.2 Procedure 1.1.3 Efficacy and Outcomes 1.1.4 Complications

1.1.4.1 Intraoperative Complications 1.1.4.2 Early Postoperative Complications 1.1.4.3 Late Postoperative Complications

1.2 Lasers That Increase Aqueous Outflow: Selective Laser Trabeculoplasty

1.2.1 Introduction 1.2.2 Procedure 1.2.3 Efficacy and Outcomes 1.2.4 Complications

1.2.4.1 Intraoperative Complications 1.2.4.2 Early Postoperative Complications 1.2.4.3 Late Postoperative Complications

1.3 Lasers That Increase Aqueous Outflow: Micropulse Laser Trabeculoplasty and Titanium-Sapphire Laser Trabeculoplasty

1.3.1 Introduction 1.3.2 Procedure 1.3.3 Efficacy and Outcomes 1.3.4 Complications

1.3.4.1 Intraoperative Complications 1.3.4.2 Early Postoperative Complications 1.3.4.3 Late Postoperative Complications

1.4 Lasers That Increase Angle Width: Laser Peripheral Iridotomy

1.4.1 Introduction 1.4.2 Procedure 1.4.3 Complications

1.4.3.1 During Laser Iridotomy Procedure 1.4.3.2 Postlaser Iridotomy Complications

1.5 Lasers That Increase Angle Width: Argon Laser Iridoplasty

1.5.1 Introduction 1.5.2 Procedure 1.5.3 Complications

1.6 Lasers That Reduce Aqueous Production: Transscleral Photocoagulation

1.6.1 Introduction 1.6.2 Procedure 1.6.3 Efficacy and Outcomes 1.6.4 Complications

1.6.4.1 Intraoperative Complications 1.6.4.2 Early Postoperative Complications 1.6.4.3 Late Postoperative Complications

1.7 Lasers That Reduce Aqueous Production: Endocyclophotocoagulation

1.7.1 Introduction 1.7.2 Procedure 1.7.3 Efficacy and Outcomes 1.7.4 Complications

1.7.4.1 Intraoperative Complications 1.7.4.2 Early Postoperative Complications 1.7.4.3 Late Postoperative Complications

References

2: Minimally Invasive Glaucoma Surgery

2.1 Introduction 2.2 Trans-trabecular Meshwork Surgeries

2.2.1 iStent

2.2.1.1 Safety and Efficacy 2.2.1.2 Procedure 2.2.1.3 Patient Selection and Indications 2.2.1.4 Complications

Intraoperative Complications Early Postoperative Complications Late Postoperative Complications

2.2.2 Hydrus

2.2.2.1 Safety and Efficacy 2.2.2.2 Patient Selection and Procedure 2.2.2.3 Complications

Intraoperative Complications Early Postoperative Complications Late Postoperative Complications

2.2.3 Trabectome

2.2.3.1 Safety and Efficacy 2.2.3.2 Patient Selection and Procedure 2.2.3.3 Complications

Intraoperative Complications

Poor Visibility Insertion of Footplate Incomplete Ablation False Passage Bleeding Cyclodialysis Cleft Descemet’s Membrane Detachment Trauma to Lens, Iris or Cornea

Early Postoperative Complications

Bleeding IOP Spike Hypotony

Late Postoperative Complications

Bleeding Failure of IOP Control

2.3 Suprachoroidal Implants

2.3.1 CyPass

2.3.1.1 Safety and Efficacy 2.3.1.2 Patient Selection and Procedure 2.3.1.3 Complications

Intraoperative Complications Early Postoperative Complications Late Postoperative Complications

2.4 Subconjunctival Implants

2.4.1 XEN Gel Implant

2.4.1.1 Safety and Efficacy 2.4.1.2 Patient Selection and Procedure 2.4.1.3 Complications

Intraoperative Complications Early Postoperative Complications Late Postoperative Complications

2.4.2 MicroShunt

2.4.2.1 Safety and Efficacy 2.4.2.2 Patient Selection and Procedure 2.4.2.3 Complications

Intraoperative Complications Early Postoperative Complications Late Postoperative Complications

References

3: Nonpenetrating Glaucoma Surgery (Deep Sclerectomy, Viscocanaloplasty, and Canaloplasty)

3.1 Introduction 3.2 Procedure for NPGS 3.3 Efficacy and Outcomes for NPGS

3.3.1 Deep Sclerectomy 3.3.2 Viscocanalostomy 3.3.3 Canaloplasty

3.4 Complications for NPGS

3.4.1 Intraoperative Complications for NPGS 3.4.2 Early Postoperative Complications for NPGS 3.4.3 Late Postoperative Complications for NPGS

3.5 Complications Specific to Mitomycin C (MMC) Use in NPGS 3.6 Laser Procedure After NPGS Goniopuncture

3.6.1 Introduction 3.6.2 Procedure 3.6.3 Efficacy and Outcomes 3.6.4 Complications of Laser Goniopuncture

References

4: Trabeculectomy

4.1 Preoperative Risk Factors

4.1.1 Ocular Factors 4.1.2 Systemic Factors

4.2 Perioperative Complications 4.3 Early Postoperative Complications 4.4 Late Postoperative Complications References

5: Glaucoma Tube Surgery

5.1 Background 5.2 Evaluating Glaucoma Drainage Device Results

5.2.1 Tube Use, Tube Type, and Complication Risk

5.3 Major Postoperative Complications and Their Mechanisms

5.3.1 Poor Flow Control

5.3.1.1 GDD and Flow Control Mechanisms 5.3.1.2 Early Hypotony and Its Consequences 5.3.1.3 Bleb Encapsulation

5.3.2 Complications of the Tube and Anterior Chamber

5.3.2.1 Leakage Around the Tube 5.3.2.2 Hyphema 5.3.2.3 Tube Blockage by Iris, Vitreous, or Cornea 5.3.2.4 Corneal Decompensation

5.3.3 Subconjunctival and Explant Complications

5.3.3.1 Diplopia 5.3.3.2 Tube or Plate Erosion 5.3.3.3 Poor Biocompatibility

5.4 Managing Postoperative Complications

5.4.1 Managing Hypotony 5.4.2 Managing Tube Blockage/Retraction and Hyphema

5.4.2.1 Tube Retraction 5.4.2.2 Viscoelastic Injection Technique 5.4.2.3 Tube Tie Technique

5.4.3 Managing Choroidal Effusions and Hemorrhage

5.4.3.1 Malignant Glaucoma 5.4.3.2 Managing Tube Exposure 5.4.3.3 Managing Plate Erosion

5.4.4 Managing Bleb Encapsulation

References

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