Programm & Abstracts                 "Innovationen in der Augenheilkunde"

Aktuelle Tagungsinformationen
   News and Updates

Anmeldung zur Tagung
   Registration
Hotelbuchung
   Hotel Registration
Grußwort
   Welcome address
Beteiligte Gesellschaften
   Societies involved
Eröffnung des Kongresses
   Opening Ceremony
Preise
   Awards
Wissenschaftliches Programm
   Scientific program
Posterpräsentationen
   Poster Presentation
Kurse
   Courses
Begleitende Veranstaltungen
   Collateral Events
Rahmenprogramm
   Social program
Jubiläumsparty
   Jubilee Party
DOG Information
   DOG Information
Allgemeine Informationen
   General Information
Autorenindex
   Index of Authors
Ausstellerliste
   Exhibitors
Sponsoren
   Sponsors
Teilnahmegebühren
   Registration fees
Impressum



DOG Homepage

Surgical Glaucoma Managment in Germany - Results of a Questionnaire Survey

Lieb W., Zeitz A., Grehn F.,
Bayerische Julius-Maximilians-Universität Würzburg, Universitäts-Augenklinik (Würzburg)

Introduction: In the last decades several modifications of surgical techniques have been advocated for glaucoma surgery. To find out how this surgical techniques are being utulized in daily practise we established a questionaire. In order to find out what surgical procedures are utilized for primary open angle glaucoma, angle closure glaucoma and pediatric glaucomas in Germany at this time.
Material and methods: A standardized questionaire was sent to more than 2000 ophthalmologists on outpatient surgical centers, eye hospitals and university eye departments in Germany. Ophthalmic surgeons were ask to answer questions regarding frequency of glaucoma patients, of glaucoma procedures and anaesthesia for glaucoma surgery. A total of 383 questionaires were completely filled out and were available for analysis. 248 outpatient surgeons and 174 eye departments answered.
Results: 3/4 of the responding surgeons are working in outpatient surgery centers. 1/4 is working at eye departments in a communal or university setting. Whereas in outpatient surgery centers the ammount of glaucoma operations accounts for 1 to 2% of the total surgical volume. In hospitals the percentages of glaucoma patients is higher between 5 and 10%. The majority of antiglaucomatous operations were performend in peri- or retrobulbar anaesthesia, but 1/3 under general anaesthesia. In primary angle closure glaucoma the YAG-iridotomy is the therapy of choice of 63% of surgeons. In primary or secondary open angle glaucoma trabeculectomy and trabeculotomy and cyclodestructive procedures predominate. In outpatient surgery centers trabeculotomy and viscocanalostomy are the primary procedures of choice.
Conclusions: In Germany still trabeculectomy and cyclodestructive procedures are standard for difficult glaucomas. There is a trend to non-penetrating and chamber angle procedures. Woundhealing modifying substances are being used by 1/3 glaucoma surgeons.

Zurück/Back