NON PENETRATING GLAUCOMA SURGE-RY: COMPARISON OF ITS EFFICACY AND LONGEVITY WITH AND WITHOUT A NON -ABOSRBABLE HYDROPHILIC IM-PLANT

Purpose: To compare the efficacy and longevity of Non-Penetrating Glaucoma Surgery (NPGS) with & without the use of a non-absorbable hydrophilic implant. Methods: 48 eyes of 32 patients aged 18-86 years, with POAG, underwent NPGS; 25 eyes with the non-absorbable hydrophilic implant T Flux and 23 eyes without it. Results: The mean preoperative IOP dropped from 27.5mmHg±11.8 (SD) to 12.5mmHg ±2.7 in the T Flux     

NON -CONVENTIONAL VACCINATION MINIMIZES RETINAL GANGLION CELL DEATH IN ACUTE AND CHRONIC GLAU-COMA

It was recently shown in our laboratory that immune intervention by passive or active vaccination directed to tissue specific abundant antigens protect neurons from consequences of insult within the same tissue. Thus myelin associated antigens protect from consequences of acute axonal injury being a crush of the optic nerve (Moalem et al. Nat. Med., 1999). In contrast, retinal-de-     

RESULTS OF COMBINED TRABECULEC-TOMY AND PHACOEMULSIFICATION IN PSEUDOEXFOLIATION VERSUS NON -PSEUDOEXFOLIATION GLAUCOMA PA-TIENTS

Purpose: To evaluate the outcome of intraoperative and postoperative complications of combined phacoemulsification and tra-beculectomy in patients with pseudoexfoliation (PSX) versus non-pseudoexfoliation (non-PSX) glaucoma. Methods: The records of patients with coexisting glaucoma and cataract who underwent combined phacoemulsification, posterior chamber in-     

MEDIUM TERM OUTCOME OF NON－PEN－ETRATING DEEP SCLERECTOMY （NPDS） COMPARED WITH TRABECULECTOMY

Purpose: to compare the results (IOP decrease, peroperative and postoperative complications) of NPDS and trabeculectomy. Patients and methods: This prospective, randomized study included 35 patients with open angle glaucoma The disease was sym-     

COMPARISON OF NON PENETRATING FILTRATION SURGERY FOR OPEN ANGLE GLAUCOMA WITH NON ABSORBABLE IM-PLANT (T FLUX) VERSUS TRABECULEC-TOMY: A MULTICENTRIC STUDY

Purpose: To compare the efficacy and safety of deep sclerectomy with no absorbable implant (T flux) vs trabeculectomy in POAG eyes. Methods: 23 eyes of 19 patients with medically uncontrolled open angle glaucoma underwent to deep sclerectomy with non absorbable implant (T flux). The postoperative IOP values and the frequency of complications were matched with those of a group of 34 eyes of 34 POAG patients operated with trabeculectomy. The examinations were performed before surgery and post-     

TRABECULECTOMY WITH ABSORBABLE AND NONABSORBABLE SUTURES OF THE SCLERAL FLAP IN PRIMARY OPEN ANGLE GLAUCOMA

Purpose: To evaluate the postoperative results after trabeculecto-my up to 3 months by using absorbable and nonabsorbable sutures of the scleral flap in patients with primary open angle glaucoma. Methods: In 21 patients (21 eyes) with uncompensated primary open angle glaucoma trabeculectomy was done. A limbal-based conjunctival flap was formed. The triangular scleral flap was fixed by 3 sutures. Of them 1 suture was nonabsorbable     

VISCOCANALOSTOMY AND PHACOVIS- COCANALOSTOMY: RESULTS OF CASES WITH AND WITHOUT IMPLANTS

Purpose: To determine the safety and efficacy of viscocanalosto-my and phacoviscocanalostomy procedures in eyes with and without implants. Methods: The records of 108 patients with medically uncontrolled glaucoma or cataract and glaucoma, operated between February 1998 and August 2002 were retrospectively reviewed. Outcomes measured were intraocular pres-     

SCANNING LASER DOPPLER FLOWMETRY OF NON PERFUSED REGIONS OF THE OPTIC NERVE HEAD IN GLAUCOMATOUS PATIENTS

Purpose: To examine the reliability of scanning laser-doppler flowmetry (SLDF) in measuring capillary flow in regions of the optic nerve head which are manifested differently by con-focal tomographic angiography. Perfused and non-perfused regions of glaucomatous optic nerves and documented related altitudinal visual field defects were compared using SLDF. Methods: The optic nerve head capillary blood flow was measured in 16 eyes of 13 glaucoma patients with moderate to severe visual field defect.     

PHACOLYTIC GLAUCOMA DIANOSIS AND TREATMENT

Phacolytic glaucoma (PG) is usually caused by hypermature lens and the principal mechanism is the obstructed trabecular mesh-work with the leaky lens capsule proteins The incidence of PG in author’s hospital, where the backlog of cataract is relatively high, occupied ten percent of operated glaucoma and three percent of cataract surgeries. The PG in severe cases is commonly misdiagnosed with endophthalmitis and was therefore     

ZONA GLAUCOMA DIAGNOSIS AND MANAGEMENT

Ophthalmic Zona (OZ) does not a fatal cause but a blind cause as well as prolonged pain lead to disturbance and difficulty in treatment for patients, and may be a marker for AIDS particularly in young persons Zona glaucoma (ZG) commonly caused by uveitis with or without blockage pupil or obstructed trabecular mesh-work. Accumulation of macrophages in severe inflammation over     

SLT- SUMMARY AND FUTURE DIREC-TIONS

Selective Laser Trabeculoplasty (SLT) represents a new approach to the treatment of ocular diseases, specifically open angle glaucoma. SLT preserves the trabecular meshwork architecture and functionality by selectively targeting pigmented trabecular mesh-work cells, without inducing collateral thermal or structural damage to surrounding cells or structures. By specifically and selectively targeting cells, a biological response within the tra-     

EFFICACY AND SAFETY OF PHA- COEMULSIFICATION AND DEEP SCLE- RECTOMY COMPARED WITH PHACO- TRABECULECTOMY

Purpose: To compare the outcome of phacoemulsification combined with deep sclerectomy (P-DS) and SK-gel implant, with that of phacotrabeculectomy(P-T) and intraoperative use of mit-omycin C in patients with cataract and primary open-angle glaucoma. Methods: Thirty eyes (27 patients) who underwent P-DS, with at least 12 months of follow-up were prospectively     

OCULAR BLOOD FLOW EVALUATION (POBF AND GDI) IN INJURED AND HEALTHY FELLOW EYES

Purpose: To assess if injured eyes develop ocular blood flow disturbances that may contribute to development of traumatic glaucoma. Materials and Methods: 25 patients hospitalized for eye injury and elevated IOP were evaluated 24 months after the trauma. All injured and fellow eyes underwent IOP measure, visual field (HFAII, Central 30/2SITA), pulsatile ocular blood flow analysis (POBF, OBF Labs UK), CDI examination (PSV, EDV, and RI) of Ophthalmic Artery, Central Retinal Artery, Short Posterior Ciliary Arteries. Results: IOP was significantly higher in injured eyes (15.1 vs 13.0±2.7mmHg) (P= 0,01), but only 2 eyes (8.8%) were under medical treatment POBF values were significantly lower in injured eyes: 11,25 μl/s in traumatised eyes and 15,40 μl/s in fellow eyes (P = 0.002). Resistivity Index (RI) of all investigated retrobulbar vessels was very significantly higher in injured eyes than in fellow eyes (P= 0.0001). There is no significant correlation between IOP and ocular blood flow disturbances. Th