Ординатура / Офтальмология / Английские материалы / Glaucoma Surgery_Trope_2005
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Glaucoma
Surgery
This book is dedicated to all the great teachers who made me think including Robert and Adele Trope, Wallace Foulds, Jeffery L. Jay, John Dudgeon, and William S. Lee
Graham E. Trope
Preface
Why a new Glaucoma surgery text at this time? A review of currently available texts reveals a paucity of readily available information for the Glaucoma Specialist. Although there are some excellent surgical texts for general ophthalmologists, there are few indepth texts available to help the Glaucoma specialist deal with complications seen after adult glaucoma surgery.
This book is divided into two sections. A “How to” section and a section on management of complications. Topics covered in the latter section include management of the postoperative eye with high intraocular pressure with deep chamber, the flat anterior chamber with high intraocular pressure and the flat chamber with low intraocular pressure. To aid learning surgery we have also included a surgical DVD. This DVD covers a number of important topics including Peng Khaw’s method of doing a trabeculectomy, how to insert an Ahmed valve and how to manage bleb problems. I am indebted to Professor Peng Khaw, Dr. Garry Condon and especially Dr. Wai-Ching Lam for their important contributions to the DVD. I would like to thank all the surgeons who gave their valuable time to the preparation of this book.
This book contains an international approach to glaucoma surgery and the management of complications. I make no apology for extensively utilizing Canadian expertise. My Canadian colleagues are expert in dealing with complications and as a result they have made substantial contributions to this new surgical text.
I sincerely hope this text will help practicing glaucoma specialists decide on the most appropriate surgery for their patients and help surgeons deal rationally with complications seen postoperatively in the adult eye.
Graham E. Trope, M.B., B.Ch., Ph.D., F.R.C.S.(C.),
F.R.C.Ophth., F.R.C.S. (E.D.), D.O. (R.C.P.&S.)
v
Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
v |
Biography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
xi |
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
xiii |
Section I Surgical Techniques
1.Indications, Pre-operative Evaluation, and
Outcomes of Filtering Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Arthur J. Sit and Graham E. Trope
2. |
Glaucoma: Surgical Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
13 |
|
Maurice H. Luntz and Graham E. Trope |
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3. |
Modern Anesthesia for Adult Glaucoma Filtration Surgery . . . . . . . . . . . . . |
17 |
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Monica M. Carrillo and Graham E. Trope |
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4.Advances in the Modulation of Wound Healing Including Large Treatment Areas and Adjustable
Sutures: The Moorfields Safe Surgery System . . . . . . . . . . . . . . . . . . . . . . |
31 |
Peng Tee Khaw and Graham E. Trope |
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5. How to Do a Trabeculectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
45 |
Clive Migdal and Graham E. Trope |
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6.Nonpenetrating Glaucoma Surgery: Indications,
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Techniques, and Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
51 |
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Tarek Shaarawy, Graham E. Trope, and Andre´ Mermoud |
|
7. |
How to Insert a Glaucoma Implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
63 |
|
Jeffrey Freedman and Graham E. Trope |
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8. |
Management of Glaucoma Implant Complications . . . . . . . . . . . . . . . . . . . |
75 |
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Jeffrey Freedman, Shlomo Melamed, and Graham E. Trope |
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Contents |
9. |
Pars Plana Insertion of Ahmed Glaucoma Valve . . . . . . . . . . . . . . . . . |
. . . . 83 |
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Roland Ling, Wai-Ching Lam, and Graham E. Trope |
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10. |
Full-Thickness Filtering Glaucoma Surgery . . . . . . . . . . . . . . . . . . . . . |
. . . 93 |
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Maurice H. Luntz and Graham E. Trope |
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11. |
How to Do a Surgical Iridectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . 101 |
|
Maurice H. Luntz and Graham E. Trope |
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12. |
Combined Cataract and Glaucoma Surgery . . . . . . . . . . . . . . . . . . . . . . |
. . . 107 |
|
Ruth Lapid-Gortzak, David S. Rootman, Yvonne M. Buys, |
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and Graham E. Trope |
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13. |
Ultrasound Biomicroscopy in Glaucoma Surgery . . . . . . . . . . . . . . . . . |
. . . 119 |
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Charles J. Pavlin and Graham E. Trope |
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Section II Management of Complications
14.Overview: An Approach to the Diagnosis of Early
Postoperative Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
135 |
Yvonne M. Buys and Graham E. Trope |
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A.Management of High Intraocular Pressure with a Deep Chamber
15. |
Massage: Techniques and Complications . . . . . . . . . . . . . . . . . . . . . . . . . . |
139 |
|
Yvonne M. Buys and Graham E. Trope |
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16. |
Glaucoma Suture Lysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
145 |
|
Graham E. Trope |
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17. |
Releasable Sutures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
151 |
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Ruth Lapid-Gortzak, David S. Rootman, and |
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Graham E. Trope |
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18. |
The Failing Bleb: Risk Factors and Diagnosis . . . . . . . . . . . . . . . . . . . . . . |
159 |
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Paul R. Healey and Graham E. Trope |
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19. |
Encapsulated Bleb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
179 |
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Adael S. Soares, Marcelo T. Nicolela, Paul E. Rafuse, |
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and Graham E. Trope |
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20. |
Needling Procedures in Postoperative Management |
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of Glaucoma Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
187 |
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Tarek Shaarawy, Pieter Gouws, Graham E. Trope, |
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and Andre Mermoud |
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B.Management of Flat Anterior Chamber with High Intraocular Pressure
21.Suprachoroidal Hemorrhage in Filtering Surgery and
Practical Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Ravikrishna Nrusimhadevara, R. G. Devenyi, and
Graham E. Trope
Contents |
ix |
22. Malignant Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Dimitrios Kourkoutas, Charles J. Pavlin, and Graham E. Trope
C.Management of a Flat Chamber with Low Intraocular Pressure
23. |
Management of the Leaking Bleb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
217 |
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Andrew C. Crichton, Garry P. Condon, and Graham E. Trope |
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24. |
Remodeling the Filtration Bleb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
225 |
J.E. Morgan and Graham E. Trope
25.Management of Flat Anterior Chambers and
Choroidal Effusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Ridia Lim, Ivan Goldberg, and Graham E. Trope
26. Hypotony Maculopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Catherine M. Birt and Graham E. Trope
D.Management of Bleb Infection
27.Blebitis and Bleb-Associated Endophthalmitis:
Diagnosis and Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Fani Segev, Allan R. Slomovic, and Graham E. Trope
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
265 |
Biography
Dr. Graham E. Trope is Professor of Ophthalmology at the University of Toronto. He has directed the Glaucoma Service at University Health Network since 1984. Dr. Trope is the past Chairman of Ophthalmology at the University of Toronto. He has published over 115 scientific articles, has been involved in Glaucoma Research and Treatment for over 20 years and is the Founder and Scientific Director of Glaucoma Research Society of Canada. He is incoming Editor-in-Chief of the Canadian Journal of Ophthalmology and he sits on a number of editorial boards including the Journal of Glaucoma. He has won a number of awards including The Ontario College of Physicians and Surgeons Council Award for his contributions to patient care. He has trained more than 20 glaucoma fellows from all over the world and is a past examiner for the Royal College of Physicians and Surgeons of Canada. He is a member of a number of learned societies and has published a book entitled Glaucoma, A Patient’s Guide to the Disease which is in its 3rd edition.
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Contributors
Catherine M. Birt, M.A., M.D., F.R.C.S.(C.) Associate Professor, Department of Ophthalmology, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
Yvonne M. Buys, M.D., F.R.C.S.(C.) Associate Professor of Ophthalmology, University Health Network and University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
Monica M. Carrillo, M.D. Clinical and Research Fellow, Department of Ophthalmology, Dalhousie University, Halifax, Nova Scotia, Canada
Garry P. Condon, M.D. Clinical Associate Professor, Drexel University College of Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
Andrew C. Crichton, M.D., F.R.C.S.(C.) Clinical Associate Professor, University of Calgary, Calgary, Alberta, Canada
R. G. Devenyi, M.D., F.R.C.S.(C.) Professor of Ophthalmology & Ophthalmologist in Chief and Director of Retinal Services, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
Jeffrey Freedman, M.B., B.Ch., Ph.D., F.C.S.(S.A.), F.R.C.S.E. Professor of Clinical Ophthalmology, Department of Ophthalmology, S.U.N.Y. Brooklyn, Brooklyn, New York, USA
Ivan Goldberg, M.B.B.S., F.R.A.N.Z.C.O., F.R.A.C.S. Ophthalmologist, Eye Associates and Sydney Eye Hospital, Sydney, Australia
Pieter Gouws, M.B., B.Ch., F.R.C.Ophth. Glaucoma Fellow, Department of Ophthalmology, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
Paul R. Healey, M.B.B.S.(Hons.), B.Med.Sc. (Cell Biology), M.Med. (Clinical Epidemiology), F.R.A.N.Z.C.O. Ophthalmic Surgeon, Director of Glaucoma Services and Clinical Senior Lecturer, Western Sydney Eye Hospital; University of Sydney, Centre for Vision Research (Westmead Millennium Institute); and Save Sight Institute, Sydney, Australia
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