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Postoperative management of trabeculectomy and glaucoma drainage implant surgery

Panarelli, Joseph F.; Nayak, Natasha V.; Sidoti, Paul A.

Current Opinion in Ophthalmology: March 2016 - Volume 27 - Issue 2 - p 170–176
doi: 10.1097/ICU.0000000000000240
GLAUCOMA: Edited by Donald L. Budenz
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Purpose of review This article describes important aspects of postoperative management after trabeculectomy and glaucoma drainage implant surgery.

Recent findings Postoperative management of glaucoma drainage implant surgery includes stabilization of intraocular pressure, possible ligature release, and management of complications such as corneal edema, and tube/plate exposure. Postoperative management of trabeculectomy includes evaluation of bleb encapsulation, management of hypotony, and assessment of need for adjuvant therapy. Recent advances in surgical techniques, device/tissue availability, and imaging continue to shape the postoperative course.

Summary Careful preoperative planning and postoperative care may decrease the likelihood of complications in tube surgery or trabeculectomy.

Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, New York, USA

Correspondence to Joseph F. Panarelli, MD, Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, 310 East 14th Street, 3rd Floor South Building, New York, NY 10003, USA. Tel: +1 212 979 4181; fax: +1 212 979 4208; e-mail: jpanarelli@nyee.edu

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