Clinical observation of microcatheter assisted trabeculotomy on the treatment of childhood glaucoma

Clinical observation of microcatheter assisted trabeculotomy on the treatment of childhood glaucoma

Authors: Yang Xiaoyuan1, Wang Huaizhou2, Gao Chuanwen3, Wang Bo3, Li Haijun1, Dong Yangceng1

DOI: 10.3760/cma.j.issn. 2095-0160.2019.06.013

1Henan Eye Hospital, Henan Eye Institute, Henan Provincial Peoples Hospital,  Zhengzhou 450003; 2Department of Ophthalmology, Capital Medical University Beijing Tongren Hospital, Beijing 100730, China; 3Department of Ophthalmology, Zhengzhou Second Peoples Hospital, Zhengzhou 450006, China

Corresponding authorWang HuaizhouEmailtrhz_wang@163.com

 Published Chin J Exp Ophthalmol, 2019, 37(6):467-471.

 

Microcatheter-assisted circumferential trabeculotomy

Illuminated microcatheter-assisted circumferential trabeculotomy for childhood glaucomayous eye was performed. Bulbar conjunctiva was cut parallel to corneal limbus at 12:00 meridian. Lamellar scleral flap was made with the thickness of 1/2 sclera and size of 4 mm × 4 mm by a 1.25 mm tunnel knife. A deep sclera incision across scleral process to Schlemm tube was carried out at 0.5 mm inside the shallow scleral incision under the lamellar scleral flap. Illuminated microcatheter was used to insert the Schlemm tube for circumferential 360º and than pulled the microcatheter to cut the wall of Schlemm tube. The bulbar conjunctiva was closed with 8-0 absorbable sutures.

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Updated: September 3, 2019 — 1:22 pm