Wound Modulation After Filtration Surgery

被引:130
作者
Seibold, Leonard K. [1 ]
Sherwood, Mark B. [2 ]
Kahook, Malik Y. [1 ]
机构
[1] Univ Colorado Denver, Rocky Mt Lions Eye Inst, Dept Ophthalmol, Aurora, CO 80045 USA
[2] Univ Florida, Coll Med, Dept Ophthalmol, Gainesville, FL 32610 USA
关键词
filtration surgery; glaucoma; trabeculectomy; wound healing; wound modulation; GLAUCOMA FILTERING SURGERY; TENONS CAPSULE FIBROBLASTS; ENDOTHELIAL GROWTH-FACTOR; INTRAOPERATIVE MITOMYCIN-C; OPEN-ANGLE GLAUCOMA; INDUCED MYOFIBROBLAST TRANSDIFFERENTIATION; ANTI-SCARRING AGENT; 5-YEAR FOLLOW-UP; AQUEOUS-HUMOR; NEOVASCULAR GLAUCOMA;
D O I
10.1016/j.survophthal.2012.01.008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Filtration surgery is the standard invasive procedure for the management of intraocular pressure in advanced glaucoma. The key to a successful outcome is to modulate the normal wound healing cascade that leads to closure of the newly created aqueous outflow pathway. Antifibrotic agents such as mitomycin C and 5-fluorouracil have been increasingly used to modulate the wound healing process and increase surgical success. Although these agents have proven efficacy, they also increase the risk of complications. Efforts have centered on the identification of novel agents and techniques that can influence wound modulation without these complications. We detail new agents and methods under investigation to control wound healing after filtration surgery. (Surv Ophthalmol 57:530-550, 2012. (c) 2012 Elsevier Inc. All rights reserved.)
引用
收藏
页码:530 / 550
页数:21
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