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Abstract #22519 Published in IGR 11-1
Nonpenetrating glaucoma surgery with goniosynechiolysis ab interno: a surgical technique
Mirshahi A; Scharioth GBEuropean Journal of Ophthalmology 2009; 19:147-150
PURPOSE: To present a surgical technique for treatment of peripheral anterior synechiae (PAS or goniosynechiae) at the operative field during nonpenetrating glaucoma surgery. METHODS: After usual preparation of a superficial and a deep scleral flap with externalization of the Schlemm's canal and peeling the juxtacanalicular trabecular meshwork, the goniosynechia is transected by a spatula introduced to the anterior chamber through a paracentesis. A Descemet's window provides full visual control at the peripheral cornea at the basis of the superficial scleral flap. RESULTS: With this surgical technique, selective treatment of goniosynechiae is possible exactly at the area where creation of low outflow resistance is intended by the surgeon during nonpenetrating glaucoma surgery. CONCLUSIONS: This technique enables the surgeon to perform nonpenetrating glaucoma surgery even in the presence of peripheral anterior synechiae.
Dr. A. Mirshahi, Recklinghausen Eye Center, Recklinghausen and Department of Ophthalmology, Ludwigshafen Hospital, Ludwigshafen - Germany
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
