Glaucoma surgery

Bonnie B. Germain, Anastasios P. Costarides, Timothy Olsen

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Glaucoma is the most common cause of optic neuropathy. Many ocular conditions may lead to the development of glaucomatous nerve damage. In general, therapeutic interventions are directed towards lowering intraocular pressure, a key risk factor for disease progression. Typically, therapy begins with topical medications, the first and simplest option. These include the prostaglandin analogs, beta adrenergic receptor blockers, carbonic anhydrase inhibitors, alpha adrenergic agonists, and miotics. These agents are used alone or in combination, and are often sufficient to control intraocular pressure. In cases of open-angle glaucoma, laser trabeculoplasty may also be used to lower intraocular pressure. Laser interventions are performed in the clinic either alone or in combination with medical therapy. For cases of angle-closure glaucoma, laser iridotomy may be performed to either treat or prevent pupillary block (iris-lens diaphragm obstruction), an anatomic predisposition that is responsible for the majority of cases. Cyclodestructive surgery (intentional destruction of the ciliary body tissues) is another laser procedure that may be used when other interventions have failed, including incisional surgery. These procedures, which are usually performed in the clinic under local anesthesia, are commonly performed with lasers and, less commonly, cryotherapy.

Original languageEnglish (US)
Title of host publicationMedical Management of the Surgical Patient
Subtitle of host publicationA Textbook of Perioperative Medicine, Fifth Edition
PublisherCambridge University Press
Pages702-703
Number of pages2
ISBN (Electronic)9780511920660
ISBN (Print)9781107009165
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

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Glaucoma
Lasers
Intraocular Pressure
Miotics
Adrenergic alpha-Agonists
Carbonic Anhydrase Inhibitors
Synthetic Prostaglandins
Angle Closure Glaucoma
Optic Nerve Diseases
Ciliary Body
Trabeculectomy
Adrenergic beta-Antagonists
Cryotherapy
Open Angle Glaucoma
Receptors, Adrenergic, beta
Iris
Local Anesthesia
Diaphragm
Lenses
Disease Progression

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Germain, B. B., Costarides, A. P., & Olsen, T. (2010). Glaucoma surgery. In Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition (pp. 702-703). Cambridge University Press. https://doi.org/10.1017/CBO9780511920660.116

Glaucoma surgery. / Germain, Bonnie B.; Costarides, Anastasios P.; Olsen, Timothy.

Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, 2010. p. 702-703.

Research output: Chapter in Book/Report/Conference proceedingChapter

Germain, BB, Costarides, AP & Olsen, T 2010, Glaucoma surgery. in Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, pp. 702-703. https://doi.org/10.1017/CBO9780511920660.116
Germain BB, Costarides AP, Olsen T. Glaucoma surgery. In Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press. 2010. p. 702-703 https://doi.org/10.1017/CBO9780511920660.116
Germain, Bonnie B. ; Costarides, Anastasios P. ; Olsen, Timothy. / Glaucoma surgery. Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, 2010. pp. 702-703
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