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Abstract #19161 Published in IGR 3-1
A proposed variation for glaucoma surgery
Galand ABulletin de la Société Belge d'Ophtalmologie 2000; 87-92
When trabeculectomy does not reduce intraocular pressure, it is usually due to sealing of the scleral flap to the adjacent sclera, while the trabeculectomy itself remains open. A triangular excision in the scleral flap seems likely to keep the fistula in function. Deep sclerectomy does not lead to major hypotony, 'the other complication' of trabeculectomy. However, nonperforating sclerectomy, under a sutured superficial scleral flap, could in the long term become inefficient. The author proposes a deep sclerectomy with controlled perforation under a notched superficial flap. LA: French
Dr A Galand, Service d'Ophtalmologie, CHU Sart-Tilman, B-4000 LiÞge, Belgium
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)