title: [Current surgical methods for advanced glaucoma].
abstract: The author summarizes the most effective types of glaucoma surgery in advanced glaucoma. In high pressure advanced glaucoma a low target intraocular pressure is to be set. The most effective method of reaching this target pressure level is mitomycin C trabeculectomy combined with effective pre- and postoperative antiinflammatory treatment. However, in several cases glaucoma filtering surgery gradually fails due to increased episcleral fibrosis. In these cases use of long-tube glaucoma drainage devices is recommended. In Hungary use of the Ahmed implant has provided favourable clinical outcome even in the most complicated, high pressure, advanced glaucoma cases. Modern types of surgical treatment of advanced glaucoma need to be known by non-ophthalmologist physicians for more than a decade. This may help them to propose the optimal treatment modality to their glaucoma patients.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Szemészeti Klinika Budapest Mária u. 39. 1085.
authors.forename: Gábor
authors.initials: G
authors.lastname: Holló
mesh_terms: D002921:Cicatrix; D020327:Glaucoma Drainage Implants / Q000009:adverse effects; D015812:Glaucoma, Angle-Closure / Q000188:drug therapy* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006814:Hungary; D007429:Intraocular Pressure; D016685:Mitomycin / Q000627:therapeutic use*; D058996:Quality Improvement; D012590:Sclera / Q000473:pathology; D014130:Trabeculectomy / Q000009:adverse effects / Q000379:methods; D014945:Wound Healing
chemical_list: D016685:Mitomycin
keywords: csarnokvíz-elvezető implantátum; glaucoma; glaucoma drainage device; intraocular pressure; szemnyomás; trabeculectomia; trabeculectomy