The Pressure Release: Glaucoma Surgery
When maximum medical therapy (eye drops) fails to stop the progression of glaucoma, the optic nerve will die unless the intraocular pressure is forcibly, surgically lowered. Glaucoma Surgery is a fiercely technical, heavily detailed operative manual that dictates exactly how to bypass the eye’s failing drainage system. This volume provides the absolute surgical blueprints required to create controlled leaks and salvage the optic nerve.
Mastering the Trabeculectomy
The core philosophy of this text is controlled fistulization. The authors aggressively detail the gold-standard filtration surgery. It dictates exactly how to punch a microscopic hole through the sclera (the white of the eye) to allow fluid to drain under the conjunctiva, forming a “bleb.” It rigorously details the use of anti-metabolite chemicals (like Mitomycin-C) during the surgery to intentionally poison the eye’s healing response so the hole doesn’t scar shut.
Navigating Tube Shunts
The book provides a masterclass in managing refractory (failing) cases. It dictates the exact surgical pathways when a trabeculectomy fails. It rigorously covers the insertion of Glaucoma Drainage Devices (like the Baerveldt or Ahmed tubes), detailing the complex technique of anchoring a massive silicone plate to the back of the eye and routing a microscopic silicone tube directly into the anterior chamber to constantly drain fluid.
Frequently Asked Questions (FAQs)
Does this book cover how to prescribe glaucoma eye drops?
Only in the context of pre- and post-operative management. Its primary focus is on the *surgical procedures* required when drops are no longer effective.
Who is the primary audience?
It is the absolute, mandatory surgical manual for Glaucoma Specialists, Comprehensive Ophthalmologists, and Surgical Fellows.
