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Chapter-52 Solid-state UV Laser for Minimally Invasive Glaucoma Surgery

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Lin JT
2. Kadambi Vivek
ISBN
9788184489583
DOI
10.5005/jp/books/11383_52
Edition
1/e
Publishing Year
2010
Pages
3
Author Affiliations
1. New Vision, Inc, Room # 826, Section 3, No.144, Min-Chuan East Road, Taipei, Taiwan, Institute of Electro Optics, National Taiwan University, 268-1 (11F), Han Sheng E Rd, Banciao, Taiwan 22066, 4532, Old Carriage Trail, Oviedo, Florida, USA, 4532, Old Carriage Trail, OVIEDO, Flourida 32765, USA, 4532, Old Carriage Trail, OVIEDO, Florida 32765, USA, Photon Data Inc.7055, University Blvd, Winter Park, Florida, USA, New Vision, Inc, 4532, Old Carriage Trail Oveido, Florida, USA, New Vision Inc., 4532, Old Carriage Trait, Oviedo FL-32765, USA, Photon Data Inc., 7055, University Blvd,Winter Park, Florida, USA, New Vision, Inc., Room # 826, Section 3, No. 144, Min-Chuan East Road, Taipei, Taiwan 105, New Visiion, Inc, 4532 Old Carriage Trail, Oviedo, FL 32765 (USA), New Vision, Inc., 4532 Old Carriage Trail, Oviedo, FL 32765, USA, New Visiion, Inc., 4532 Old Carriage Trail, Oviedo, FL 32765, USA, New Vision, Inc, Room 826, Section 3, No144, Min-Chuan East Road, Taipei, Taiwan 105, National Taiwan University, 268-1
2. Laser Vision Netralaya, Chinmaya Hospital, CMH Road, Bangalore, India, Kadambi Laser Vision Clinic and Research Foundation Pvt. Ltd., 157, Defence Colony, 4th Main Road, Indira Nagar, Bangalore, India, Kadambi Laser Vision Clinic and Research Foundation Pvt. Ltd., 157, Defence Colony, 4th Main Road, Indira Nagar, Bengaluru, India, Kadambi Laser Vision Clinic and Research Foundation Pvt Ltd, 157, Defence Colony, 4th Main Road, Indiranagar, Bangalore, India, Kadambi Laser Vision Clinic and Research Foundation Pvt Ltd., 157, Defence Colony, 4th Main Road, Indiranagar, Bangalore, India, Kadambi Laser Vision Clinic and Research Foundation Pvt Ltd, 157, Defence Colony, 4th Main Road Indiranagar, Bangalore, India, Kadambi Laser Vision Clinic and Research Foundation Pvt Ltd, 157, Defence Colony, 4th Main Road, Indira Nagar, Bangalore, India, Laser Vision Netralaya, Chinmaya Hospital, CMH Road, Bangalore-560038, India
Chapter keywords
solid-state UV laser, minimally invasive glaucoma surgery, open angle glaucoma, aqueous humor, trabecular meshwork, glaucoma surgery, non-penetrating deep sclerectomy (NPDS), viscocanalostomy

Abstract

This chapter discusses solid-state UV laser for minimally invasive glaucoma surgery. The aim of surgical management of open angle glaucoma is to create an alternate channel for drainage of aqueous humor from the anterior chamber of the eye by surgical techniques collectively called “filtration microsurgery”, or to open previously blocked trabecular meshwork with the help of lasers. The ideal glaucoma surgery is that which can create adequate drainage to enable a controlled reduction of IOP without the risk of over-filtration while ensuring long term patency of the filtration channel. It is believed that the model around which all glaucoma surgeries should be conceptualized is the non-penetrating deep sclerectomy (NPDS) or viscocanalostomy. In this procedure the intraocular pressure is lowered as fluid oozes through a permeable thin layer of tissue, the trabeculo-Descemet’s membrane. The UV-270 pulsed laser is explained.

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