Glaukomdrainageimplantate und ihre Bedeutung: Tube-versus-Trabekulektomie-Studie

Zusammenfassung

Während die Trabekulektomie mit Mitomycin C zu einem früheren Zeitpunkt die Goldstandardmethode in der penetrierenden Glaukomchirurgie darstellte, sind Glaukomdrainageimplantate im Zuge der Tube-versus-Trabekulektomie-Studie (TVT-Studie) immer mehr in den Fokus eines früheren Einsatzes innerhalb der Glaukomchirurgie gerückt. Einerseits bedingt durch gewebsverträglichere Materialien, aber auch durch optimierte Operationsmethoden werden Glaukomdrainageimplantate nun auch schon zu einem früheren Zeitpunkt eingesetzt, während in der Vergangenheit der Einsatz solcher Implantate oftmals erst nach multiplen Voroperationen erfolgte. Typischerweise werden die Glaukomdrainageimplantate jedoch weiterhin am pseudophaken Auge eingesetzt, an dem schon 1–2 Glaukomvoroperationen (z. B. Trabekulektomie) durchgeführt wurden.

Abstract

While trabeculectomy with mitomycin C has previously been the gold standard in penetrating glaucoma surgery, glaucoma drainage implants used early within glaucoma surgery were examined in the course of the tube versus trabeculectomy (TVT) study. Glaucoma drainage implants are now being used earlier, as materials are tissue-compatible and surgery has been improved. While in the past, the use of such implants was often carried out after multiple preoperations, implants are now being used at an earlier stage. Glaucoma drainage implants are typically still used in the pseudophakic eye, where 1–2 glaucoma preoperations (e.g. trabeculectomy) have already been performed.

Schlüsselwörter

Glaukomdrainageimplantat - Ahmed - Baerveldt - Trabekulektomie - Mitomycin C

Key words

glaucoma drainage device - Ahmed - Baerveldt - trabeculectomy - mitomycin C

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