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Abstract #126565 Published in IGR 25-2
Use of Harms trabeculotome to assist failed microcatheter advancement during trabeculotomy in primary congenital glaucoma
Guasch FM; Thompson R; Oula D; Ward S; Levin MR; Alexander JLJournal of AAPOS 2025; 29: 104105
We report the use of the Harms trabeculotome to facilitate 360° microcatheter advancement during illuminated microcatheter-assisted circumferential trabeculotomy (IMCT) ab externo in a 3-month-old infant with bilateral primary congenital glaucoma who required repeat surgery. The illuminated microcatheter was advanced 270°, from 9 to 6 o'clock; however, a focal blockage occurred, and, despite viscodilation, further advancement was not possible. The surgeon introduced a right Harms trabeculotome in the opposite direction, counterclockwise through the same scleral flap. The trabeculotome approximated and manipulated the illuminated microcatheter tip. The illuminated microcatheter was then able to advance beyond the focal obstruction, and the 360° circumferential trabeculotomy was completed.
Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland.
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