97th DOG Annual Meeting 1999

R12

TREATMENT OF SECONDARY GLAUCOMAS

N. Pfeiffer

Eyes with secondary glaucomas have a pathologically elevated intraocular pressure following another primary eye disease. In contrast to their relativ heterogeneity secondary glaucomas contribute relatively little to the overall number of glaucomas. However, they may occur very early in life, they often show very high intraocular pressures and thus relatively frequently lead to loss of visual function and even blindness.

The differential diagnosis often is very straightforward but can be very difficult in the case of anomalies. However, the differential diagnosis is extremely important as the diagnosis points towards the appropriate treatment that can be far more varied than in straight forward primary open angle glaucoma.

Neovascular glaucoma necessitates antiproliferative treatment with laser or cryotherapy. Trabecular aspiration can be particularly helpful in pseudoexfoliation. Trabeculotomy appears to be a valuable method in pigment dispersion glaucoma, and the irido-corneo-endothelial-syndrom is one of the very few possible indications for a primary implantation of a glaucoma drainage device.

Mainz University, Department of Ophthalmology, Langenbeckstr. 1, D-55101 Mainz, Germany


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