Ab interno trabeculectomy
Removal of trabecular tissue with small-gauge vitreous cutter effective in lowering IOP
Roibeard O’hEineachain
Published: Tuesday, February 28, 2017
The surgical technique has evolved since the time of the poster presentation at the XXXIV Congress of the ESCRS, from two 1mm incisions to one 2.2mm incision that can accommodate both the vitreous cutter with a special irrigator on top, to maintain the anterior chamber depthAfter gently pressing the iris, the surgeon inserts the tip of the vitreous cutter into the meshwork and activates its infusion/aspiration and cutting functions to ablate an arc of 30 to 90 degrees of trabecular meshwork tissue and the inner wall of Schlemm’s canal. The patient’s postoperative regimen includes pilocarpine, one drop four times a day for two months; dexamethasone, one drop four times a day for two weeks; and netilmicine, one drop four times a day for two weeks. This new procedure was also presented at the 20th ESCRS Winter Meeting in Athens, Greece, the 12th European Glaucoma Society Congress in Prague, Czech Republic, and at DOG 2016 in Berlin, Germany. The surgical technique has evolved since the time of the poster presentation at the XXXIV Congress of the ESCRS, from two 1mm incisions to one 2.2mm incision that can accommodate both the vitreous cutter with a special irrigator on top, to maintain the anterior chamber depth. Adrian Gavanescu: gdr358@yahoo.com To view a video of this new procedure, go to: https://m.youtube.com/watch?sns=fb&list=PLJJBUkfz3mGw79Zb5py_XPW5Jg-S4JSJS&v=gBzp4A5YgpM
Tags: trabulectomy
Latest Articles
From Lab to Life: Corneal Repair Goes Cellular
Long-awaited cellular therapies for corneal endothelial disease enter the clinic.
Balancing Innovation and Safety
Ensuring access to advanced cell therapies amid regulatory overhaul.
With Eyes on Its Future, ESCRS Celebrates Its Past
Winter Meeting offers opportunities to experiment with new concepts and formats.
Best of ESCRS Winter Meeting 2024
Following the New Generation
EDOF IOLs an option for eyes with mild comorbidities, showing potential in mini-monovision strategies.
Refocus on Multifocals
Trifocal IOLs continue to improve as consensus grows regarding indications and contraindications.
Common Myths in Presbyopia Correction
Patient education key to satisfaction with refractive IOLs.
Reversible Multifocality
Two-lens combination offers low-risk spectacle independence for cataract patients and presbyopes.
Managing a Cataract Surgery Refractive Miss
Weighing the pros and cons of options for intraocular intervention.
Unleashing OCT’s Full Potential
Performance of newest tool for corneal evaluation meets or beats older standard technologies.