Zusammenfassung
Die Glaukomchirurgie erfährt einen Innovationsschub insbesondere durch neue Mikroimplantate. Auch lange bestehende glaukomchirurgische Verfahren, wie die Trabekulektomie oder die Drainageimplantatchirurgie, erleben eine Aufwertung durch eine Verbesserung ihres Risiko-Nutzen-Profils. Dieser Beitrag gibt einen Überblick über die aktuellen chirurgischen Optionen der Glaukombehandlung.
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 Even the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly perceived as being outdated, re-achieve better reputation owing to refinements in surgical technique and improved surgical experience.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.
Schlüsselwörter
Augendruck - Glaukomchirurgie - Glaukomimplantat - Trabekulektomie
Key words
intraocular pressure - glaucoma surgery - glaucoma drainage device - trabeculectomy
