Editors Tarek M Shaarawy MD MSc
Privat Docent University of Geneva Head, Glaucoma Sector Médecin adjoint agrégé du chef de service Ophthalmology Service University of Geneva Hospitals (HUG)
Geneva, Switzerland
Tanuj Dada MD
Professor of Ophthalmology Dr Rajendra Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences
New Delhi, India
Shibal Bhartiya MD
Consultant, Glaucoma Services Department of Ophthalmology Fortis Memorial Research Institute
Gurgaon, Haryana, India
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ISGS Textbook of Glaucoma Surgery
First Edition: 2014
9789351522065
Printed at:
5Dedicated to
All who have to struggle with glaucoma, be it a patient, a family member or a surgeon…may you always have a life less ordinary
7Contributors
- Joseph Abbott frcophth
- Consultant Pediatric Ophthalmologist and Glaucoma Surgeon
- Birmingham Children's Hospital
- NHS Foundation Trust
- Birmingham, UK
- Ahmed M Abdelrahman md frcsed
- Professor of Ophthalmology
- Cairo University
- Cairo, Egypt
- Joel Aduan md
- Medical Officer
- Department of Ophthalmology
- National University Hospital
- National University Health System
- Singapore
- Oscar Albis-Donado md
- Ophthalmologist—Glaucoma Specialist
- Omesvi Ophthalmic Diagnostics
- Glaucos Ophthalmic Group
- Zacatecas, Mexico, USA
- Dewang Angmo md frcs
- Senior Resident
- Dr Rajendra Prasad Centre for Ophthalmic Sciences
- All India Institute of Medical Sciences
- New Delhi, India
- Murali Ariga ms dnb faico
- Director and Senior Consultant
- Swamy Eye Clinic and Surgicentre
- Chennai, Tamil Nadu, India
- Tin Aung mbbs, mmed(ophth), frcs(ed) frcophth, fams, phd(lond)
- Executive Director
- Singapore Eye Research Institute
- Senior Consultant and Head Glaucoma Service
- Singapore National Eye Centre
- Professor
- Department of Ophthalmology
- Yong Loo Lin School of Medicine
- National University of Singapore
- Singapore
- Amr Aref msc
- Assistant Lecturer of Ophthalmology
- Research Institue of Ophthalmology Giza, Egypt
- Maria Cecilia Aquino
- Glaucoma Division, Department of Ophthalmology, National University
- Hospital, Singapore
- Kleyton Barella
- José I Belda Sanchís md phd febo
- Chief of Ophthalmology Service
- Hospital de Torrevieja, Alicante, Spain
- Shibal Bhartiya ms
- Consultant, Glaucoma services
- Fortis Memorial Research Institute
- Gurgaon, Haryana, India
- Philip A Bloom mb chb frcs (ed) frcophth
- Consultant Ophthalmic Surgeon
- Western Eye Hospital
- Marylebone Road, London, UK
- Laura Beltran-Agullo mbbs
- Glaucoma Service
- Department of Ophthalmology
- St Thomas' Hospital, London, UK
- Rafael Castañeda-Diez
- Glaucoma Assistant Professor
- Asociación Para Evitar la Ceguera en
- México, Mexico City, Mexico, USA
- Sonia Corredor-Casas md
- Chief, Pathology Department
- Instituto Mexicano de Oftalmologia
- Queretaro, Mexico, USA
- Colin I Clement bsc(hon) mbbs phd franzco
- Staf Specialist
- Glaucoma Unit
- Syndney Eye Hospital, Australia
- Clinical Senior Lecturer
- The University of Sydney, Australia
- Giovanna Casale-Vargas md
- Ophthalmologist—Glaucoma Specialist
- Omesvi Ophthalmic Diagnostics
- Glaucos Ophthalmic Group
- Zacatecas, Mexico, USA
- Jason Cheng mbbs, bsc, mrcophth
- Glaucoma Service
- Department of Ophthalmology
- ST Thomas' Hospital
- London, UK
- M Francesca Cordeiro phd mrcp frcophth
- UCL Professor of Glaucoma and Retinal
- Neurodegeneration Studies
- Hon Consultant Ophthalmologist
- Western Eye Hospital
- Visiting Professor Imperial College
- London, UK
- UCL Institute of Ophthalmology
- London, UK
- Vital Paulino Costa
- Jonathan Crowston
- Ringland Anderson Professor
- Head of Ophthalmology
- University of Melbourne
- Director, Center for Eye Research
- Australia
- Michael Coote
- Clinical Director
- Center for Eye Research Australia
- University of Melbourne
- Royal Victorian Eye and Ear Hospital
- 32 Gisborne St
- East Melbourne, Victoria 3002, Australia
- Praveena C
- Senior Registrar Department of Ophthalmology
- Sundaram Medical Foundation
- Chennai, Tamil Nadu, India
- Tanuj Dada md
- Professor of Ophthalmology
- Dr Rajendra Prasad Centre for Ophthalmic Sciences
- All India Institute of Medical Sciences
- New Delhi, India
- Moza Dekhain md
- Chief of Ophthalmology Service
- Dubai Hospital, Dubai, UAE
- Syril Dorairaj
- Assistant Professor of Ophthalmology
- Department of Ophthalmology
- Mayo Clinic, Jacksonville
- Florida, USA
- Rathini Lilian David ms
- Associate consultant
- Sankara Nethralaya
- Chennai, Tamil Nadu, India
- Daniel Elíes md
- Refractive Surgery Unit
- Instituto de Microcirugia Ocular de
- Barcelona
- Barcelona, Spain
- Thomas Edwards
- Center for Eye Research Australia
- Royal Victorian Eye and Ear Hospital
- East Melbourne, Victoria 3002, Australia
- Ivan Goldberg am mbbs (syd) franzco fracs
- Clinical Associate Professor
- Discipline of Ophthalmology
- University of Sydney
- Head, Glaucoma Unit
- Sydney Eye Hospital
- Director, Eye Associates
- Sydney, Australia
- Matthias C Grieshaber md pd fmh ophth febo
- Assistant Professor
- University Hospital Basel
- Department of Ophthalmology
- Basel, Switzerland
- Monica Gandhi
- Consultant Glaucoma and Anterior
- Segment
- Dr Shrof's Charity Eye Hospital
- New Delhi, India
- Jonathan Goodfellow
- Center for Eye Research Australia
- Royal Victorian Eye and Ear Hospital
- East Melbourne, Victoria 3002, Australia
- Shikha Gupta md
- Senior Resident
- Dr Rajendra Prasad Centre for Ophthalmic Sciences
- All India Institute of Medical Sciences
- New Delhi, India
- Rahat Husain mbbs frcophth
- Singapore Eye Research Institute and Singapore National Eye Center
- Singapore
- Wanda D Hu
- Wills Eye Hospital
- Philadelphia, Pennsylvania, USA
- Parul Ichhpujani ms
- Assistant Professor
- Glaucoma Services
- Department of Ophthalmology
- Government Medical College and Hospital, Chandigarh, India
- Peng T Khaw phd frcp frcs frcophth frcpath fcoptom cbiol fsb farvo fmedsci
- Professor of Glaucoma and Ocular Healing, and Consultant Ophthalmic Surgeon
- Director, National Institute for Health Research, Biomedical Research Center for Ophthalmology
- Moorfields Eye Hospital and UCL
- Institute of Ophthalmology
- Eyes and Vision Programme, UCL
- Partners Academic Health Science
- Centre, Research and Development
- Moorfields Eye Hospital, London, UK
- Dawn Lim Ka-Ann mbbs(s'pore), mmed(ophth), mmed(int med), mrcp(uk)
- Registrar, Department of Ophthalmology
- National University Hospital
- National University Health System Singapore
- Malik Y Kahook md
- The Slater Family Endowed Chair in Ophthalmology
- Vice Chair, Clinical and Translational Research, Chief, Glaucoma Service and Director, Glaucoma Fellowship
- Professor of Ophthalmology
- University of Colorado
- Anschutz Medical Campus
- Department of Ophthalmology
- Colorado, USA
- Paul Chew Tec Kuan mbbs(s'pore) mmed(ophth) frcsed frcophth fams
- Senior Consultant
- Department of Ophthalmology
- National University Hospital
- Yong Loo Lin School of Medicine
- National University of Singapore
- National University Health System
- Singapore
- K Sheng Lim md frcophth
- Consultant Ophthalmic Surgeon
- Department of Ophthalmology
- St Thomas' Hospital, London, UK
- Graham A Lee
- Associate Professor of Ophthalmology
- University of Queensland, Australia
- Director of Corneal and Glucoma
- Services, CEC, Australia
- André Mermoud md
- Chief of Glaucoma Center
- Montchoisi Clinic
- Lausanne, Switzerland
- Paolo Martinelli md
- Department of Surgical, Medical, Molecular and Critical Area Pathology
- University of Pisa
- Hospital “Nuovo S Chiara”, Pisa, Italy
- Marlene R Moster md
- Professor of Ophthalmology
- Thomas Jefferson University School of Medicine
- Attending Surgeon
- Wills Eye Hospital
- Philadelphia, Pennsylvania, USA
- Gonzalo Muñoz md phd febo
- Chief of Glaucoma Unit
- Clínica Oftalmológica
- Marqués de Sotelo
- Valencia, Spain
- Nivean M
- Consultants
- MN Eye Hospital
- Channai, Tamil Nadu, India
- MM Moschos
- Associate Professor of Ophthalmology
- University of Athens, Greece
- Marco Nardi md phd
- Full Professor of Ophthalmology
- Department of Surgical, Medical, Molecular and Critical Area Pathology
- University of Pisa
- Hospital “Nuovo S Chiara”, Pisa, Italy
- Francesco Nasini md
- Department of Surgical, Medical, Molecular and Critical Area Pathology
- University of Pisa
- Hospital “Nuovo S Chiara”, Pisa, Italy
- Sribhargava Natesh
- Nethra Eye Hospital
- Bangalore, India
- Sung Chul Park md
- Assistant Professor of Ophthalmology
- New York Medical College
- Peter Crowley Research Scientist
- Director, Moise and Chella Safra
- Advanced Ocular Imaging Laboratory
- New York Eye and Ear Infirmary of Mount Sinai
- New York, NY, USA
- Malarkodi P
- Consultants
- MN Eye Hospital, Channai, India
- Robert Ritch md
- Shelley and Steven Einhorn
- Distinguished Chair
- Professor of Ophthalmology
- Surgeon Director and Chief
- Glaucoma Services
- The New York Eye and Ear Infirmary at Mount Sinai School of Medicine
- New York, NY, USA
- Srinivas K Rao
- Director and Consultant Cornea
- Specialist
- Darshan Eye Clinic
- Chennai, Tamil Nadu, India
- Sarwat Salim md facs
- Professor of Ophthalmology
- Chief, Glaucoma Service
- Medical College of Wisconsin, USA
- Leonard K Seibold md
- Assistant Professor of Ophthalmology
- University of Colorado
- Anschutz Medical Campus
- Department of Ophthalmology
- Eye Center, Aurora, Colorado, USA
- Loon Seng-Chee mmed (oph), mmed (clinical epidemiology), frcs ed(oph)
- Head of Glaucoma Service
- (NUHS and JGH)
- A/Director of Research
- Department of Ophthalmology
- National University Health System
- (NUHS), Singapore
- Oana Stirbu md febo
- Glaucoma Consultant
- Instituto Contal de Oftalmologia
- Barcelona, Spain
- Gabor B Schrioth md phd
- Senior Consultant
- Aurelios Augenzentrum
- Recklinghausen
- Germany and Department of Ophthalmology
- University of Szeged, Hungary
- Dilani Siriwardena
- Consultant Ophthalmologist
- Moorfields Eye Hospital NHS
- Foundation, London, UK
- Janvi Shah dnb
- Consultant I Q Hospitals
- Jaipur, Rajasthan, India
- Jefrey R SooHoo md
- Instructor, Ophthalmology
- University of Colorado
- Anschutz Medical Campus
- Department of Ophthalmology
- Eye Center
- Aurora, Colorado, USA
- Tarek M Shaarawy md msc
- Privat Docent
- University of Geneva
- Head, Glaucoma Sector
- Médecin adjoint agrégé du chef de service
- Ophthalmology Service
- University of Geneva Hospitals (HUG)
- Geneva, Switzerland
- Velota CT Sung frcs(ed), frcophth msc(warwick)
- Consultant Ophthalmologist Clinical Director
- Birmingham and Midland Eye Centre
- Sandwell and West Birmingham
- Hospitals NHS Trust Birmingham, UK
- Honorary Senior Clinical Lecturer
- University of Birmingham
- School of Immunity and Infection Birmingham, UK
- Yasmine El Sayed md mrcsed
- Cairo University, Cairo, Egypt
- Chelvin CA Sng
- Glaucoma Division, Department of Ophthalmology, National University Hospital, Singapore
- Singapore Eye Research Institute
- Peter Shah
- University Hospitals Birmingham NHS
- Foundation Trust
- NIHR Biomedical Reaserch Centre
- Morfields Eye Hospital NHS
- Foundation Trust and UCL Institute of Ophthalmology
- Centre for Health and Social Care
- Improvement School of Health and Welbeing
- University of Wolverhampton, UK
- Freda Sii
- NIHR Biomedical Research Centre
- Moorfields Eye Hospital NHS
- Foundation Trust and UCL Institute of Ophthalmology
- University Hospitals
- Birmingham NHS Foundation Trust
- Birmingham, UK
- MB Sherwood
- Professor of Ophthalmology
- University of Florida
- Gainsvile, USA
- Michael W Stewart
- Department of Ophthalmology
- Mayo Clinic, Jacksonville, Florida, USA
- Anna Marie TAN Wee Tien mbbs(s'pore), mmed(ophth), mrcsed
- Consultant
- Department of Ophthalmology
- National University Hospital
- National University Health System
- Singapore
- Sangtam Tiakumzuk
- Susana Duch Tuesta
- Christopher C Teng
- The Shelley and Steven
- Einhorn Clinical Research Center
- New York Eye and Ear Infirmary
- New York, NY, USA
- Lingam Vijaya ms
- Director glaucoma services
- Sankara Nethralaya
- Chennai, Tamil Nadu, India
Yet another book on “Glaucoma Surgery”, you may say, and indeed it is. Where science moves in leaps and bounds, it is imperative to strive to be up-to-date. What this book promises is to tackle specific issues that the comprehensive ophthalmologist, the ophthalmology trainee, and the dedicated glaucoma surgeon would surely find interesting. This book attempts to offer a snapshot of current frontiers and controversies in 2014.
In what seems to be a defining moment for glaucoma surgery, we all at once have to dabble with many new surgical procedures, most of which seem to reach the market without any true evidence on their basic utility or safety. On that front, the book tries to take a balanced stand, offering classification for the new surgeries in a way that would allow the practitioner's ability to navigate through those murky waters, and provides an overview of available literature to help the surgeon distinguish between science and science fiction.
New surgeries should not be ignored; they should certainly be explored and embraced when they provide clear evidence. Meanwhile, we still have to refine our old and tested ways of glaucoma surgery, be it tubes, trabeculectomies or nonpenetrating surgeries. It is always paramount to deliberate on the basics, how to select a patient for surgery; how to prepare a patient; and which surgery to offer. In all those issues, and many more, the book offers new insight.
We are confident that this book will provide a rich and fulfilling read to all who are interested in glaucoma surgery. It promises to be the first among a series of books that the International Society of Glaucoma Surgery (ISGS), intends to release regularly.
So simply, Enjoy!
Tarek M Shaarawy
Tanuj Dada
Shibal Bhartiya