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27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

11.04. - 13.04.2013, Heidelberg

The micro anatomy and the patho-physiology of the glaucomas

Meeting Abstract

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  • Robert C. Stegman - Pretoria/ZA

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 27. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Heidelberg, 11.-13.04.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgii050

doi: 10.3205/13dgii050, urn:nbn:de:0183-13dgii0507

Published: April 5, 2013

© 2013 Stegman.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

A recent classification of the Glaucomas by Lucio Burrato came up with 62 sub-divisions which makes for a very complicated understanding of the disease at first glance. To simplify this concept an understanding of the micro anatomy, physiology and pathology of the disease can be beautifully demonstrated with photographic techniques developed over many years where the 4 cardinal structures are revealed at magnifications of up to 250×. These structures are

1.
Canal of Schlemm
2.
Trabecular Meshwork
3.
Collectors Channels
4.
Optic nerve of N.F.L.

Very high magnification in real time reveals the entire mechanism and cycle of the disease glaucoma. We have resolved that micro anatomical appreciation indicates the following important points.

1.
The Trabecular meshwork ………. Is it permeable or non-permeable?
2.
The Canal of Schlemm ………. Is it patent or collapsed?
3.
The Collector Channels ………. Collapsed or patent?

Permutations of these 3 entities determine the prognosis.