Klin Monbl Augenheilkd 2018; 235(09): 1013-1020
DOI: 10.1055/s-0043-106297
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Chirurgische Möglichkeiten der Glaukomtherapie

Surgical Options in Glaucoma Management
Thomas S. Dietlein
1   Augenklinik, Universitätskliniken Köln
,
André Rosentreter
2   Augenklinik, Universitätskliniken Würzburg
› Author Affiliations
Further Information

Publication History

eingereicht 29 December 2016

akzeptiert 02 February 2017

Publication Date:
02 June 2017 (online)

Zusammenfassung

Die Glaukomchirurgie erfährt in den letzten Jahren einen Innovationsschub insbesondere bedingt durch neue Mikroimplantate, die den Kammerwasserabfluss über transsklerale Wege, über den Schlemm-Kanal oder den Suprachoroidalraum verbessern sollen und eine sehr gute Kombinierbarkeit mit der modernen Kleinschnittkataraktchirurgie aufweisen. Auch lange bestehende glaukomchirurgische Verfahren, wie die Trabekulektomie oder die Drainageimplantatchirurgie erleben eine Aufwertung durch eine Verbesserung ihres Risiko-Nutzen-Profils, die in vermehrter chirurgischer Erfahrung und detaillierten chirurgischen Modifikationen begründet ist. Bei aller Euphorie über die chirurgischen Innovationen muss mit kritischem Abstand abgewartet werden, welches der neueren chirurgischen Verfahren langfristig dem klinischen Vergleich mit den etablierten Verfahren standhält.

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 Even the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly perceived as being outdated, re-achieve better reputation owing to refinements in surgical technique and improved surgical experience.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.

 
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