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    Early surgical intervention with stent advantageous for certain glaucomas

    Approach may help physicians, patients avoid compliance, other medical therapy issues



    The stent has changed the entire glaucoma treatment paradigm—treating glaucoma patients medically until they have nearly lost fixation is no longer acceptable to patients. Clinicians are more commonly approaching glaucoma as a surgical disease.

    Although topical medications and laser therapy will certainly continue to have roles in the treatment of glaucoma, the stent makes early surgical intervention appealing to both patients and surgeons. In select patients with early glaucoma and visually significant cataract, utilizing the stent as a first-line therapy is not only a viable option, but potentially the preferred treatment.

    Once the stent inject is approved as a stand-alone therapy, I suspect the role of this proven approach will continue to expand within patients with early glaucoma, thereby preventing the need for filtration surgery, such as trabeculectomy or tube shunt surgery, during a patient’s lifetime.


    Steven D. Vold, MD

    E: [email protected]

    Dr. Vold is founder of Vold Vision in Fayetteville and Bentonville, AR. Dr. Vold is a consultant to Glaukos.



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