الجلوكوما مفتوحة الزاوية عندما لا تُحقق أدوية خفض ضغط العين وتربيق الليزر ضغط العين المستهدف

References

• Trabeculectomy remains the most effective surgical procedure to lower IOP; it is generally indicated when medications and appropriate laser surgery are insufficient to control disease and can be considered in selected cases as initial therapy.
• A 2005 Cochrane Systematic Review concluded that antifibrotic agents may be used intraoperatively and postoperatively to reduce the subconjunctival scarring after trabeculectomy that can result in failure of the operation, and therefore intraoperative MMC should be used.
• Aqueous shunts have traditionally been used to manage medically uncontrolled glaucoma when trabeculectomy has failed to control IOP or is deemed unlikely to succeed.