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Klin Monbl Augenheilkd 2014; 231(11): 1097-1102
DOI: 10.1055/s-0034-1368609
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Stellenwert der Ab-interno-Trabekelchirurgie in der Glaukombehandlung[*]

Clinical Value of Ab-interno Trabecular Surgery in the Management of Glaucoma
T. S. Dietlein
Augenklinik, Universitätskliniken Köln
,
A. Lappas
Augenklinik, Universitätskliniken Köln
,
A. Rosentreter
Augenklinik, Universitätskliniken Köln
› Author Affiliations
Further Information

Publication History

eingereicht 24 March 2014

akzeptiert 05 May 2014

Publication Date:
15 July 2014 (online)

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Zusammenfassung

Die Ab-interno-Trabekelchirurgie lässt Sklera und Bindehaut unangetastet, sodass eine später erforderliche Filtrations- oder Glaukomimplantatchirurgie nicht negativ beeinflusst wird. Da nur der trabekuläre Widerstand chirurgisch verändert wird, kann vom Konzept eine Augendrucksenkung in den niedrig-normalen Bereich nicht erwartet werden. Die bulbuseröffnende Ab-interno-Trabekelchirurgie ist deshalb eine typische Option für Glaukompatienten mit moderat erhöhtem Augeninnendruck und nicht allzu weit fortgeschrittener Glaukomschädigung, bei denen eine Kataraktchirurgie ansteht. Die Ab-interno-Trabekelchirurgie ist i. d. R. nicht ausreichend bei Patienten mit Normaldruckglaukom oder aber auch mit sehr hohen Augendruckspitzen.

Abstract

Ab-interno trabecular surgery does not damage sclera and conjunctiva in glaucoma patients and does not prejudice subsequent anti-glaucomatous filtration or drainage device surgery. As only trabecular resistance is surgically modified, the level of intraocular pressure (IOP) can usually not be reduced in the lower teens. Consequently, incisional ab-interno trabecular surgery is a valuable option in early glaucoma stages with moderate IOP elevation, especially in combination with cataract surgery. Ab-interno trabecular surgery is an insufficient surgical tool in normal pressure glaucoma, but also in glaucoma patients with very high IOP peaks.

Schlüsselwörter

Glaukom - Anatomie - Katarakt

Key words

glaucoma - anatomy - cataract

* Herrn Prof. Dr. G. K. Krieglstein zum 70. Geburtstag gewidmet.


 

  • Literatur

  • 1 Latina MA, Sibayan SA, Shin DH et al. Q-switched 532-nm Nd : YAG laser trabeculoplasty (selective laser trabeculoplasty): a multicenter, pilot, clinical study. Ophthalmology 1998; 105: 2082-2088
    CrossrefPubMedGoogle Scholar
  • 2 Juzych MS, Chopra V, Banitt MR et al. Comparison of long-term outcomes of selective laser trabeculoplasty versus argon laser trabeculoplasty in open-angle glaucoma. Ophthalmology 2004; 111: 1853-1859
    CrossrefPubMedGoogle Scholar
  • 3 Kramer TR, Noecker RJ. Comparison of the morphologic changes after selective laser trabeculoplasty and argon laser trabeculoplasty in human eye bank eyes. Ophthalmology 2001; 108: 773-779
    CrossrefPubMedGoogle Scholar
  • 4 Shi JM, Jia SB. Selective laser trabeculoplasty. Int J Ophthalmol 2012; 5: 742-749
    PubMedGoogle Scholar
  • 5 Dutton GN, Allan D, Cameron SA. Pulsed neodymium-YAG laser trabeculotomy: energy requirements and replicability. Br J Ophthalmol 1989; 73: 177-181
    CrossrefPubMedGoogle Scholar
  • 6 Georgopoulos GT, Chalkiadakis J, Livir-Rallatos G et al. Combined clear cornea phacoemulsification and trabecular aspiration in the treatment of pseudoexfoliative glaucoma associated with cataract. Graefes Arch Clin Exp Ophthalmol 2000; 238: 816-821
    CrossrefPubMedGoogle Scholar
  • 7 Jacobi PC, Dietlein TS, Krieglstein GK. Comparative study of trabecular aspiration vs. trabeculectomy in glaucoma triple procedure to treat pseudoexfoliation glaucoma. Arch Ophthalmol 1999; 117: 1311-1318
    CrossrefPubMedGoogle Scholar
  • 8 Klamann MK, Gonnermann J, Maier AK et al. Combined clear cornea phacoemulsification in the treatment of pseudoexfoliative glaucoma associated with cataract: significance of trabecular aspiration and ab interno trabeculectomy. Graefes Arch Clin Exp Ophthalmol 2013; 251: 2195-2199
    CrossrefPubMedGoogle Scholar
  • 9 Jacobi PC, Dietlein TS, Krieglstein GK. Effect of trabecular aspiration on intraocular pressure in pigment dispersion syndrome and pigmentary glaucoma. Ophthalmology 2000; 107: 417-421
    CrossrefPubMedGoogle Scholar
  • 10 Dinslage S, Rosentreter A, Schild AM et al. Combined phacoemulsification with trabecular aspiration with differing outcomes in pseudoexfoliative glaucoma – a retrospective study. Klin Monatsbl Augenheilkd 2012; 229: 641-644
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Kaplowitz K, Schuman JS, Loewen NA. Techniques and outcomes of minimally invasive trabecular ablation and bypass surgery. Br J Ophthalmol 2014; 98: 579-585
    CrossrefPubMedGoogle Scholar
  • 12 Saheb H, Ahmed II. Micro-invasive glaucoma surgery: current perspectives and future directions. Curr Opinion Ophthalmol 2012; 23: 96-104
    CrossrefPubMedGoogle Scholar
  • 13 Arriola-Villalobos P, Martinez-de-la-Casa JM, Diaz-Valle D et al. Combined iStent trabecular micro-bypass stent implantation and phacoemulsification for coexistent open-angle glaucoma and cataract: a long-term study. Br J Ophthalmol 2012; 96: 645-649
    CrossrefPubMedGoogle Scholar
  • 14 Samuelson TW, Katz LJ, Wells JM et al. US iStent Study Group. Randomized evaluation of the trabecular micro-bypass stent with phacoemulsification in patients with glaucoma and cataract. Ophthalmology 2011; 118: 459-467
    CrossrefPubMedGoogle Scholar
  • 15 Craven ER, Katz LJ, Wells JM et al. Cataract surgery with trabecular micro-bypass stent implantation in patients with mild-to-moderate open-angle glaucoma an cataract: two-year follow-up. J Cataract Refract Surg 2012; 38: 1339-1345
    CrossrefPubMedGoogle Scholar
  • 16 Fea M. Phacoemulsification versus phacoemulsification with micro-bypass stent implantation in primary open-angle glaucoma: randomized double-masked clinical trial. J Cataract Refract Surg 2010; 36: 407-412
    CrossrefPubMedGoogle Scholar
  • 17 Camras LJ, Yuan F, Fan S et al. A novel Schlemmʼs Canal scaffold increases outflow facility in a human anterior segment perfusion model. Invest Ophthalmol Vis Sci 2012; 53: 6115-6121
    CrossrefPubMedGoogle Scholar
  • 18 Gulati V, Fan S, Hays CL et al. A novel 8-mm Schlemmʼs canal scaffold reduces outflow resistance in a human anterior segment perfusion model. Invest Ophthalmol Vis Sci 2013; 54: 1698-1704
    CrossrefPubMedGoogle Scholar
  • 19 Grierson I, Saheb H, Kahook MY et al. A novel Schlemmʼs Canal scaffold: histologic observations. J Glaucoma 2013; [Epub ahead of print]
    PubMedGoogle Scholar
  • 20 Glaukos Corporation. MRI compatibility statement. Laguna Hills, USA, 23. 7. 2012.
    PubMedGoogle Scholar
  • 21 Arriola-Villalobos P, Martinez-de-la-Casa JM, Diaz-Valle D et al. Mid-term evaluation of the new Glaukos iStent with phacoemulsification in coexistent open-angle glaucoma or ocular hypertension and cataract. Br J Ophthalmol 2013; 97: 1250-1255
    CrossrefPubMedGoogle Scholar
  • 22 Belovay GW, Naqi A, Chan BJ et al. Using multiple trabecular micro-bypass stents in cataract patients to treat open-angle glaucoma. J Cataract Refract Surg 2012; 38: 1911-1917
    CrossrefPubMedGoogle Scholar
  • 23 Dietlein TS, Jacobi PC, Mietz H et al. Morphology of the trabecular meshwork three years after Erbium : YAG laser trabecular ablation. Ophthalmic Surg Lasers 2001; 32: 483-485
    PubMedGoogle Scholar
  • 24 Philippin H, Wilmsmeyer S, Feltgen N et al. Combined cataract and glaucoma surgery: endoscope-controlled erbium : YAG laser goniotomy versus trabeculectomy. Graefes Arch Clin Exp Ophthalmol 2005; 243: 684-688
    CrossrefPubMedGoogle Scholar
  • 25 Töteberg-Harms M, Ciechanowski PP, Hirn C et al. One-year results after combined cataract surgery and excimer laser trabeculotomy for elevated intraocular pressure. Ophthalomologe 2011; 108: 233-238
    PubMedGoogle Scholar
  • 26 Minckler DS, Baerveldt G, Alfaro MR et al. Clinical results with the Trabectome for treatment of open-angle glaucoma. Ophthalmology 2005; 112: 962-967
    CrossrefPubMedGoogle Scholar
  • 27 Minckler D, Mosaed S, Dustin L et al. Trabectome (trabeculectomy-internal approach): additional experience and extended follow-up. Trans Am Ophthalmol Soc 2008; 106: 149-159
    PubMedGoogle Scholar
  • 28 Jordan JF, Wecker T, van Oterendorp C et al. Trabectome surgery for primary and secondary open angle glaucomas. Graefes Arch Clin Exp Ophthalmol 2013; 251: 2753-2760
    CrossrefPubMedGoogle Scholar
  • 29 Ahuja Y, Ma Khin Pyi S, Malihi M et al. Clinical results of ab interno trabeculotomy using the trabectome for open-angle glaucoma: the Mayo Clinic series in Rochester, Minnesota. Am J Ophthalmol 2013; 156: 927-935
    CrossrefPubMedGoogle Scholar
  • 30 Jea SY, Mosaed S, Vold SD et al. Effect of failed trabectome on subsequent trabeculectomy. J Glaucoma 2012; 21: 71-75
    PubMedGoogle Scholar
  • 31 Beck AD, Lynch MG. 360 degress trabeculotomy for primary congenital glaucoma. Arch Ophthalmol 1995; 113: 1200-1202
    CrossrefPubMedGoogle Scholar
  • 32 Grover DS, Godfrey DG, Smith O et al. Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy. Technique report and preliminary results. Ophthalmology 2014; 121: 855-861
    CrossrefPubMedGoogle Scholar