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Transition to nonpenetrating trabecular surgery: sclerotrabeculectomy.

Abstract：

:A transition from trabeculectomy to nonpenetrating trabecular surgery (NPTS) is proposed under the name of sclerotrabeculectomy. The technique, which is aimed at facilitating the transition to NPTS, is a modification of both penetrating and nonpenetrating techniques. Sclerotrabeculectomy uses a more superficial sclerokeratectomy than NPTS to avoid the risk of perforation. A minitrabeculectomy with cross-linked hyaluronate implant insertion in the sclerokeratectomy site is performed, with several sutures placed in the superficial flap. The sclerokeratectomy site is filled with cohesive viscoelastic substance to avoid a flat or shallow anterior chamber. Using this technique, it is possible to move to NPTS by finding the pre-Descemet's plane in front of the scleral spur and removing the external trabeculum. In case of accidental microperforation of Descemet's plane, the operation is finished as a standard sclerotrabeculectomy with no risk to the patient's eye. A safe transition can thus be achieved. Initial clinical results demonstrate excellent lowering of intraocular pressure without significant complications.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Sourdille P,Santiago PY,Bresson-Dumont H

doi

10.1016/s0886-3350(02)01363-9

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

2080-3

issue

12

eissn

0886-3350

issn

1873-4502

pii

S0886335002013639

journal_volume

28

pub_type

杂志文章

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