Medical versus surgical therapy in glaucoma simplex.

Medical versus surgical therapy in glaucoma simplex.

Surgical decision in glaucoma simplex.

The indications for 220 trabeculectomies performed by six surgeons at three different centres were studied. 82% of the decisions to operate were based on a non-progressive but high risk situation. The 18% of cases showing preoperative deterioration were characterised by early presentation and low preoperative residual pressures. There was a distinct similarity in the incidence of individual ind...

Medical therapy versus trabeculectomy in patients with open-angle glaucoma.

PURPOSE To compare therapeutic outcomes between trabeculectomy and medical therapy in patients with open-angle glaucoma. METHODS In the present retrospective comparative study, the medical charts of 284 patients (eyes) newly diagnosed with open-angle glaucoma who had received conventional medications (n=188) or undergone fornix-based trabeculectomy (n=96) at a teaching eye hospital were revie...

Medical therapy of pediatric glaucoma and glaucoma in pregnancy.

Although surgery remains the definitive treatment for congenital and other childhood glaucomas, medical therapy can be effective in lowering intraocular pressure as a temporizing measure before surgery or as long-term adjunctive treatment in disease refractory to surgical measures. Carbonic anhydrase inhibitors, beta-blockers, cholinergic drugs, and the prostaglandin-related drugs all play an e...

Cost Analysis of Medical versus Surgical Management of Glaucoma in Nigeria

PURPOSE To analyze the cost of glaucoma medical therapy and compare it with that of surgical management in Nigeria. METHODS The cost of glaucoma drugs and that of surgical therapy in patients who attended the eye clinic of the University of Benin Teaching Hospital, Benin City, Nigeria, between December 2002 and November 2008 were calculated over a 3 year period of follow-up. Costs of medical ...