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Management of exfoliative glaucoma: challenges and solutions
- Source :
- Clinical Ophthalmology (Auckland, N.Z.)
- Publication Year :
- 2015
- Publisher :
- Informa UK Limited, 2015.
-
Abstract
- Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist.
- Subjects :
- medicine.medical_specialty
genetic structures
Selective laser trabeculoplasty
medicine.medical_treatment
Glaucoma
Review
Deep sclerectomy
Exfoliative glaucoma
Ophthalmology
laser trabeculoplasty
Medicine
Trabeculectomy
business.industry
Vascular disease
trabeculectomy
deep sclerectomy
pseudoexfoliative glaucoma
Cataract surgery
medicine.disease
Trabeculotomy
eye diseases
exfoliative glaucoma
Optometry
medication
viscocanalostomy
sense organs
business
Subjects
Details
- ISSN :
- 11775483
- Database :
- OpenAIRE
- Journal :
- Clinical Ophthalmology
- Accession number :
- edsair.doi.dedup.....651c584104bb4195e8a83137c3ffead5