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2015 ; 9
(ä): 907-19
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Management of exfoliative glaucoma: challenges and solutions
#MMPMID26045655
Holló G
; Katsanos A
; Konstas AG
Clin Ophthalmol
2015[]; 9
(ä): 907-19
PMID26045655
show ga
Exfoliative glaucoma is the most common type of secondary open-angle glaucoma
worldwide. It is characterized by high intraocular pressure (IOP) and worse
24-hour IOP characteristics. In order to minimize progression, treatment of
exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP
control. To achieve these goals, fixed-dose combination eye drops, argon and
selective laser trabeculoplasty, and various forms of surgery (trabeculectomy,
deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular
aspiration, and cataract surgery) all need to be considered during the long-term
management of the disease. Since exfoliative glaucoma is a disease of the
elderly, and is frequently associated with systemic vascular disease,
interdisciplinary consultations are of great clinical importance. These
management aspects and the current medical, laser, and surgical results are
covered in this review, with a special focus on the needs of the general
ophthalmologist.