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NR. 1/2008
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„Minimally invasive
surgery” – nowoczesne techniki chirurgii jaskry
“Minimally Invasive Surgery” – Modern Techniques in Glaucoma
Surgery
Anna Zaleska-Żmijewska, Monika
Udziela, Marta Szymańska-Świderska, Jerzy Szaflik
Katedra i Klinika Okulistyki II Wydziału Lekarskiego
Warszawskiego Uniwersytetu Medycznego
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
A recent advancement in
non-penetrating glaucoma surgery is designed to improve
the aqueous circulation through the trabecular outflow
process. In our paper we focused on procedures known as
minimally invasive glaucoma surgery including
canaloplasty, ab interno trabeculectomy (with Trabectom
system), ab interno excimer laser trabeculotomy (ELT),
trabecular micro-bypass stent (iStent), Ex-PRESS mini
glaucoma shunt and Gold Micro-Shunt implantation.
Surgical techniques mentioned above are indicated in
open-angle glaucoma, such as primary open-angle glaucoma,
pseudoexfoliation glaucoma and pigmentary dispersion
glaucoma, some of them also in chronic closure-angle
glaucoma. All these procedures attempt to enhance
aqueous outflow without creating a bleb. They can be
performed alone or as combined surgery with any type of
cataract extraction. Early multicenter studies and
clinical trials have achieved promising results. |
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| Key words: |
minimally invasive
glaucoma surgery, canaloplasty, ab interno
trabeculectomy, Trabectom, excimer laser trabeculotomy,
trabecular micro-bypass stent, Ex-PRESS mini shunt, Gold
Micro-Shunt, aqueous outflow. |
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