Management of exfoliative glaucoma: challenges and solutions

Gábor Holló,1 Andreas Katsanos,2 Anastasios GP Konstas3 1Department of Ophthalmology, Semmelweis University, Budapest, Hungary; 2Department of Ophthalmology, University of Ioannina, Ioannina, 3First and Third Departments of Ophthalmology, Aristotle University of Thessaloniki,...

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Autores principales:	Holló G, Katsanos A, Konstas AGP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c9af0b5930414106a99988305b04d8ee
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spelling	oai:doaj.org-article:c9af0b5930414106a99988305b04d8ee2021-12-02T03:08:05ZManagement of exfoliative glaucoma: challenges and solutions1177-5483https://doaj.org/article/c9af0b5930414106a99988305b04d8ee2015-05-01T00:00:00Zhttp://www.dovepress.com/management-of-exfoliative-glaucoma-challenges-and-solutions-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Gábor Holló,1 Andreas Katsanos,2 Anastasios GP Konstas3 1Department of Ophthalmology, Semmelweis University, Budapest, Hungary; 2Department of Ophthalmology, University of Ioannina, Ioannina, 3First and Third Departments of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece Abstract: Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist. Keywords: exfoliative glaucoma, pseudoexfoliative glaucoma, medication, laser trabeculoplasty, deep sclerectomy, viscocanalostomy, trabeculectomyHolló GKatsanos AKonstas AGPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 907-919 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Holló G Katsanos A Konstas AGP Management of exfoliative glaucoma: challenges and solutions
description	Gábor Holló,1 Andreas Katsanos,2 Anastasios GP Konstas3 1Department of Ophthalmology, Semmelweis University, Budapest, Hungary; 2Department of Ophthalmology, University of Ioannina, Ioannina, 3First and Third Departments of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece Abstract: Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist. Keywords: exfoliative glaucoma, pseudoexfoliative glaucoma, medication, laser trabeculoplasty, deep sclerectomy, viscocanalostomy, trabeculectomy
format	article
author	Holló G Katsanos A Konstas AGP
author_facet	Holló G Katsanos A Konstas AGP
author_sort	Holló G
title	Management of exfoliative glaucoma: challenges and solutions
title_short	Management of exfoliative glaucoma: challenges and solutions
title_full	Management of exfoliative glaucoma: challenges and solutions
title_fullStr	Management of exfoliative glaucoma: challenges and solutions
title_full_unstemmed	Management of exfoliative glaucoma: challenges and solutions
title_sort	management of exfoliative glaucoma: challenges and solutions
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c9af0b5930414106a99988305b04d8ee
work_keys_str_mv	AT hollog managementofexfoliativeglaucomachallengesandsolutions AT katsanosa managementofexfoliativeglaucomachallengesandsolutions AT konstasagp managementofexfoliativeglaucomachallengesandsolutions
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Management of exfoliative glaucoma: challenges and solutions

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