Adopting New Surgical Methods: How I Do It and How I Choose: Going with the Flow



Glaucoma surgical choices are continuing to evolve toward safer options as a first-line therapy. MIGS procedures open the door for the patient who you might want to avoid filtration procedures. Avoiding blebs, flat chambers, and choroidal hemorrhage is an issue that made surgeons resistant to consider glaucoma surgery in the past. The surgery choice is based on the desired risk-to-benefit ratio. Avoiding a flat anterior chamber or bleb may be outweighed by the need to preserve the optic nerve. Where to use new procedures and how much risk to expose you and the patient to leads the surgeon to the new procedures considered.


Filtration Glaucoma Cataract Arena Mitomycin 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Glaucoma, Department of OphthalmologyWilmer Eye Institute at Johns Hopkins University, King Khaled Eye Specialist HospitalBaltimoreUSA

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