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NR. 1/2009
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Implanty setonowe w
jaskrze
Glaucoma Drainage Devices
Adam Klu¶, Marek Rękas, Andrzej
Stankiewicz, Wacław Ofman
Klinika Okulistyczna Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
Drainage devices have been
applied in glaucoma surgery for over thirty years. They
are most frequently used in complicated treatment of
glaucoma that does not respond to medications, as
secondary procedure after the failure of primary
antiglaucoma surgery, after penetrating keratoplasty and
following vitreo-retinal procedures. Their mechanism
lies in creating alternate aqueous pathways by
channeling aqueous from the anterior chamber to
subconjunctival filtration space formed around flat
equatorial drainage plate. Then, by passive diffusion
through conjunctiva to peribulbar and lymphatic blood
vessels. The described in literature effectiveness of
drainage devices in the reduction of intraocular
pressure, beneficial safety profile and small number of
severe complications lead to their wider and wider
application. Furthermore, seton implants are used by
some surgeons as primary procedures. |
| Key words: |
glaucoma drainage devices,
secondary procedures, refractory glaucoma. |
| Słowa kluczowe: |
implanty drenuj±ce,
procedury wtórne, zaawansowana jaskra. |
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