Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Selective trabecular surgery

Jacobi P. C., Dietlein T. S., Krieglstein G. K.

Dept. of Ophthalmology, University of Cologne, Germany

In contrast to conventional filtering procedures, trabecular surgery aims to selectively combat the diseased structure in the pathogenesis of chronic open-angle glaucoma, thereby reducing the potential intra- and postoperative hazards of transscleral drainage operations. New techniques in trabecular surgery will be overviewed, with special emphasis on the description of each novel technique, its intrumentation, presumed mechanism of action and long-term clinical results. We will evaluate "goniocurettage" and "laser trabecular ablation" for the treatment of primary open-angle glaucoma. Although preliminary results are truly promising it has to be understood that some of these procedures are still experimental and under careful clinical evaluation, however, leaving plenty of room for refinements and further developments.




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