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

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

16.02. - 18.02.2017, Dortmund

30 years of Schlemm's canal surgery

Meeting Abstract

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  • Robert C. Stegmann - Pretoria, South Africa

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 31. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Dortmund, 16.-18.02.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17dgii086

doi: 10.3205/17dgii086, urn:nbn:de:0183-17dgii0869

Published: February 15, 2017

© 2017 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

Glaucoma in Africa has a higher incidence and earlier onset, with I.O.P’s in our series averaging 43.3 mm Hg. This has led to our conclusion that this disease requires a surgical management rather than medical therapy.

To this end the canal of Schlemm was targeted more than 30 years ago based on the pioneering work of Prof Harms of Germany.

The ultimate goal was to restore physiological outflow by less traumatic micro-surgery and more attention to detail working under very high magnification of up to 250 X.

By using advanced photographic documentation of the various surgical approaches to expose the canal of Schlemm and collector channel system we are able to present the experience gained involving more than 3,000 cases involving all the glaucomas and the longest patient follow-ups of 25 years.

Continued attention to micro-surgical technique improvement leads to higher success rates and vastly lower post op complications.