Cataract Surgery in the Glaucoma Patient

249 Pages·2009·13.991 MB·English

by  Graham A. Lee, Ivan Goldberg (auth.), Sandra M. Johnson (eds.)

Sandra Johnson
Editor
Cataract Surgery
in the
Glaucoma Patient
Cataract Surgery in the Glaucoma Patient
Sandra Johnson
Editor
Cataract Surgery
in the Glaucoma Patient
123
Editor
SandraJohnson
UniversityofVirginiaSchool
ofMedicine
Charlottesville,VA22908
USA
ISBN978-0-387-09407-6 e-ISBN978-0-387-09408-3
DOI10.1007/978-0-387-09408-3
SpringerDordrechtHeidelbergLondonNewYork
LibraryofCongressControlNumber:2009931581
©SpringerScience+BusinessMedia,LLC2009
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Preface
CataractsurgeryisoneofthemostfrequentlyperformedproceduresintheUnitedStates,and
cataractsarealeadingcauseofvisualimpairmentintheworld.Glaucomaisalsoaverycom-
mon eye disease with an expected 3.3 million Americans afflicted with primary open angle
glaucomaby2020.Itisalsoaleadingcauseofirreversibleblindnessworldwide.Thecoexis-
tence of these two diseases is not uncommon, and how a cataract is approached can have an
impactontheglaucomastatusofapatient.Afterall,cataractsarerarelyassociatedwithper-
manent blindness as is glaucoma. Managing cataracts to the best advantage of the glaucoma
shouldresultinthebestlong-termvisualoutcomesforourpatientswithbothdiseases.
While detailed instruction on cataract surgery is reviewed in other texts, this book serves
to focus on the management of cataract in the setting of glaucoma, using an evidence-based
medicineapproach.Itishopedtoserveasawonderfulresourceforophthalmologists,residents,
andglaucomafellows.
Charlottesville,VA SandraM.Johnson,MD
v
Acknowledgments
I would like to acknowledge all the contributors of this book without whom it would not be
published. The experience of our mentors and the contributors to our references, cited and
uncited,helpedprovideuswithourcurrentinsights.Inaddition,Ithankthephotographerswho
assistedtheauthorsincludingthosefromDartmouthHitchcockMedicalCenter(TomMonego
andPatSaine),MedicalCollegeofGeorgia(MikeStanley),andUniversityofVirginia(Alan
Lyon,JaredWatson,andLloydSitukali).
SandraM.Johnson
vii
Contents
PartI CataractSurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 ApproachtoCataractSurgeryinGlaucomaPatients . . . . . . . . . . . . . 3
GrahamA.LeeandIvanGoldberg
2 Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
MarleneR.MosterandAugustoAzuara-Blanco
3 ManagementoftheSmallPupil . . . . . . . . . . . . . . . . . . . . . . . . . 23
CynthiaMattox
4 SmallIncisionCataractSurgeryandGlaucoma . . . . . . . . . . . . . . . . 35
BrooksJ.Poley,RichardL.Lindstrom,ThomasW.Samuelson,
andRichardR.SchulzeJr.
5 ElevatedIntraocularPressureAfterCataractSurgery . . . . . . . . . . . . 51
ParagA.GokhaleandEmoryPatterson
PartII CombinedSurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
6 CombinedCataractandTrabeculectomySurgery . . . . . . . . . . . . . . . 59
SandraM.Johnson
7 Managing Cataract and Glaucoma in the Developing
World – Manual Small Incision Cataract Surgery (MSICS)
CombinedwithTrabeculectomy . . . . . . . . . . . . . . . . . . . . . . . . . 73
RengarajVenkatesh,RengappaRamakrishnan,RamasamyKrishnadas,
ParthasarathySathyan,andAlanL.Robin
8 Antimetabolite-Augmented Trabeculectomy Combined with
CataractExtractionfortheTreatmentofCataractandGlaucoma . . . . . . 83
SumitDhingraandPengTeeKhaw
9 EarlyPostoperativeBlebMaintenance . . . . . . . . . . . . . . . . . . . . . 91
RobertT.ChangandDonaldL.Budenz
10 LaserSutureLysisandReleasableSutures . . . . . . . . . . . . . . . . . . . 105
AnastasiosCostaridesandPrathimaNeerukonda
11 CataractSurgeryCombinedwithGlaucomaDrainageDevices . . . . . . . . 109
RameshS.AyyalaandBrianJ.Mikulla
12 ChoroidalDetachmentFollowingGlaucomaSurgery . . . . . . . . . . . . . 119
DiegoG.Espinosa-Heidmann
ix
x Contents
13 Cataract Extraction Combined with Endoscopic
Cyclophotocoagulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
StevenD.Vold
14 ApproachtoCataractExtractionCombinedwithNewGlaucomaDevices. . 135
DiamondY.TamandIqbalIkeK.Ahmed
PartIII GlaucomaConditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
15 CataractSurgeryinPatientswithExfoliationSyndrome . . . . . . . . . . . 161
AnastasiosG.P.Konstas,NikolaosG.Ziakas,MiguelA.Teus,
DimitriosG.Mikropoulos,andVassiliosP.Kozobolis
16 CataractSurgeryinthePresenceofaFunctioning Trabeculectomy Bleb . . 177
HyltonR.MayerandJamesC.Tsai
17 CataractExtractioninEyeswithPriorGDDImplantation . . . . . . . . . . 187
RameshAyyalaandBrianMikulla
18 CataractSurgeryinthePrimaryAngle-ClosurePatient . . . . . . . . . . . . 189
JimmyS.M.Lai
19 Nanophthalmos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
CarlosGustavoVasconcelosdeMoraesandRemoSusannaJr.
20 CataractInducedGlaucoma:Phacolytic/Phacomorphic . . . . . . . . . . . . 207
SandraM.Johnson
21 GlaucomaRelatedtoPseudophakia . . . . . . . . . . . . . . . . . . . . . . . 213
JunpingLiandJasonMuch
22 CataractandGlaucomainRetinopathyofPrematurity . . . . . . . . . . . . 221
AnthonyJ.AnfusoandM.EdwardWilson
23 CataractSurgeryintheHypotonousEye . . . . . . . . . . . . . . . . . . . . 227
DevonGhodasraandSandraM.Johnson
Appendix:IndexofMajorFiguresandTables . . . . . . . . . . . . . . . . . . . . 233
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Contributors
IqbalIkeK.Ahmed,MD,FRCSC Department of Ophthalmology, University of Toronto,
Toronto,ONT,Canada,[email protected]
AnthonyJ.Anfuso,MD UniversityofWestVirginia,Morgantown,WV,USA,
[email protected]
RameshS.Ayyala,MD,FRCS,FRCOphth DepartmentofOphthalmology,TulaneUniver-
sitySchoolofMedicine,NewOrleans,LA,USA,[email protected]
AugustoAzuara-Blanco,MD,PhD,FRCS(Ed) Department of Ophthalmology, The Eye
Clinic,UniversityofAberdeen,Foresterhill,Aberdeen,Scotland,[email protected]
DonaldL.Budenz,MD,MPH DepartmentofOphthalmology,BascomPalmerEyeInstitute,
MillerSchoolofMedicine,UniversityofMiami,Miami,FL,USA,[email protected]
RobertT.Chang,MD Department of Ophthalmology, Bascom Palmer Eye Institute, Miller
SchoolofMedicine,UniversityofMiami,Miami,FL,USA,[email protected]
AnastasiosCostarides,MD,PhD EmoryUniversitySchoolofMedicine,EmoryEyeCenter,
Atlanta,GA,USA,[email protected]
CarlosGustavoVasconcelosdeMoraes,M.D. Department of Ophthalmology, Glaucoma
Associates of New York, New York Eye and Ear Infirmary, New York, NY, USA,
[email protected]
SumitDhingra,MBBCh,MA,MRCOphth DepartmentofOcularRepairandRegeneration
BiologyNIHRBiomedicalResearchCentre,UCLInstituteofOphthalmologyandMoorfields
EyeHospital,London,UK,[email protected]
DiegoG.Espinosa-Heidmann,MD Duke University Eye Center, Durham, NC, USA,
[email protected]
DevonGhodasra,BS MedicalCollegeofGeorgia,SchoolofMedicine,Augusta,GA,USA,
[email protected]
ParagA.Gokhale,MD Department of Ophthalmology, Virginia Mason Medical Center,
Seattle,WA,USA,[email protected]
IvanGoldberg,MBBS,FRANZCO,FRACS Department of Ophthalmology, Sydney Eye
Hospital,UniversityofSydney,Sydney,NSW,Australia,[email protected]
SandraM.Johnson Department of Ophthalmology, Glaucoma Service, University of Vir-
giniaSchoolofMedicine,Charlottesville,VA,USA,[email protected]
PengTeeKhaw,PhD,FRCP,FRCS, FRCOphth, FIBiol, FRCPath, FmedSci Depart-
ment of Ocular Repair and Regeneration BiologyNIHR Biomedical Research Centre, UCL
InstituteofOphthalmologyandMoorfieldsEyeHospital,London,UK,[email protected]
xi
xii Contributors
AnastasiosG.P.Konstas,MD,PhD 1st University Department of Ophthalmology, Head of
theGlaucomaUnit,AHEPAHospital,Thessaloniki,Greece,[email protected]
VassiliosP.Kozobolis,MD,PhD Department of Ophthalmology, University Hospital of
Alexandroupolis, Medical School, Dragana, Alexandroupolis, Alexandroupoli, Greece,
[email protected]
RamasamyKrishnadas,DO,DNB AravindEyeHospitalandPostgraduateInstituteofOph-
thalmology,Madurai,TN,India,[email protected]
JimmyS.M.Lai,FRCSOphth,FRCSEd,M.Med(Ophthalmology),M.D.,L.L.B. Queen
Mary Hospital, Eye Institute and Research Center for Heart Brain and Healthy Ageing, The
UniversityofHongKong,Cyberport,HongKong,China,[email protected]
GrahamA.Lee,MD,MBBS,FRANZCO Department of Ophthalmology, Royal Brisbane
Hospital,Brisbane,QLD,Australia,[email protected]
JunpingLi,MD,PhD ClinicalOphthalmology,UniversityofVirginia,ChiefofOphthalmol-
ogy,SalemVeteransAffairsMedicalCenter,Salem,VA,USA,[email protected]
RichardL.Lindstrom,MD Department of Ophthalmology, University of Minnesota,
MinnesotaEyeConsultants,PA,Bloomington,MN,USA,[email protected]
CynthiaMattox,MD Department of Ophthalmology, New England Eye Center, Tufts
UniversitySchoolofMedicine,Boston,MA,USA,[email protected]
HyltonR.Mayer,MD Department of Ophthalmology, Yale University School of Medicine,
NewHaven,CT,USA,[email protected]
DimitriosG.Mikropoulos,MD AHEPA Hospital, Thessaloniki, Greece, mikropou@med.
auth.gr
BrianJ.Mikulla,BS,MBA Department of Ophthalmology, Tulane University School of
Medicine,NewOrleans,LA,USA,[email protected]
MarleneR.Moster,MD Department of Ophthalmology, Thomas Jefferson University
Hospital,Philadelphia,PA,USA,[email protected]
JasonMuch,MD DepartmentofOphthalmology,UniversityofVirginia,Charlottesville,VA,
USA,[email protected]
PrathimaNeerukonda,MD DepartmentofOphthalmology,EmoryUniversity,Atlanta,GA,
USA,[email protected]
EmoryPatterson,MD DepartmentofOphthalmology,MedicalCollegeofGeorgia,Augusta,
GA,USA,[email protected]
BrooksJ.Poley,MD Department of Ophthalmology, Volunteers in Medicine Clinic, Hilton
HeadIsland,SC,USA,[email protected]
RengappaRamakrishnan,MD Department of Glaucoma, Aravind Eye Hospital,
Tirunelveli,TN,India,[email protected]
AlanL.Robin,MD University of Maryland, Baltimore, MD, USA; Johns Hopkins Univer-
sity, Baltimore, MD, USA; Bloomberg School of Public Health, Johns Hopkins University,
Baltimore,MD,USA,[email protected]
ThomasW.Samuelson,MD Department of Ophthalmology, University of Minnesota,
PhillipsEyeInstitute,Minneapolis,MN,USA,[email protected]
ParthasarathySathyan,Dip.N.B. Department of Glaucoma, Aravind Eye Hospital,
Peelamedu,Coimbatore,TN,India,[email protected]