Zusammenfassung
Die Glaukomchirurgie erfährt einen Innovationsschub insbesondere durch neue Mikroimplantate.
Auch lange bestehende glaukomchirurgische Verfahren, wie die Trabekulektomie oder
die Drainageimplantatchirurgie, erleben eine Aufwertung durch eine Verbesserung ihres
Risiko-Nutzen-Profils. Dieser Beitrag gibt einen Überblick über die aktuellen chirurgischen
Optionen der Glaukombehandlung.
Abstract
During the last few years, there has been a considerable capacity of innovations in
glaucoma surgery owing to new micro-stents increasing the aqueous outflow via transscleral
routes, via the trabecular meshwork or the suprachoroidal space. These interventions
can be easily performed in combination with small-incision cataract surgery. Even
the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly
perceived as being outdated, re-achieve better reputation owing to refinements in
surgical technique and improved surgical experience. Although enthusiasm is understandable,
considering the technical advances, we must wait for clinical long-term results and
compare the new procedures with the established ones.
Schlüsselwörter
Augendruck - Glaukomchirurgie - Glaukomimplantat - Trabekulektomie
Key words
intraocular pressure - glaucoma surgery - glaucoma drainage device - trabeculectomy
