gms | German Medical Science

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

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

11.02. - 13.02.2016, Mannheim

Article

Send article

Timing is everything

Meeting Abstract

Search Medline for

  • Robert Stegmann - Pretoria, South Africa

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 30. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Mannheim, 11.-13.02.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16dgii017

doi: 10.3205/16dgii017, urn:nbn:de:0183-16dgii0176

Published: March 1, 2016

© 2016 Stegmann.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

30 years exposure to a population group with amongst the highest incidence of glaucoma in the world has revealed that timing of decisions in the management of glaucoma to be paramount.

The relentless progression of structural and functional damage caused by glaucoma is much faster than in the European population.

Careful evaluation by observation using very high magnification and definition has yielded the following facts :

1.
Trabecular changes
2.
Canal of Schlemn collapse
3.
Collector channel atrophy
4.
Relentless increase of IOP

In a population where we have found the mean IOP at the time of surgery to be 47 min Hg. It becomes very obvious that early detection and early surgical intervention make for the best prognosis and results. These findings will be supported by follow-ups as longs as 25 years using very high quality videos to emphasize the timing of surgical intervention.