PMID: 9545787Apr 18, 1998Paper

Risks of 360 degree suture trabeculotomy

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
B R Gloor

Abstract

In 1995, Beck and Lynch reported a method to perform a 360 degrees trabeculotomy by prolene suture introduced into Schlemm's canal. Because this type of surgery has proved to have perils and can lead to extreme hypotony, even a small series of cases must be reported. Suture trabeculotomy was planned in five eyes of four patients, 5 and 7 months old and 6 and 51 years old, with primary congenital glaucoma, but completed in only two eyes. In one child, suture trabeculotomy could be accomplished easily in both eyes. In the first eye a 360 degrees-tomy was performed, in the second eye only a 180 degrees-tomy was done. Both eyes remained extremely hypotonic (4 mm Hg). In one eye Schlemm's canal could not be disrupted by the suture; in another eye, Schlemm's canal could be probed only for a short distance, and in one eye the suture went the wrong way. Because a suture trabeculotomy can be transformed into a normal trabeculotomy any time, the main problems of the 360 degrees-suture trabeculotomy are not the possible technical difficulties, but that a successful suture trabeculotomy is followed by extreme hypotony.

Citations

Aug 28, 2010·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·J F JordanT Reinhard
Oct 5, 2007·Eye·M Papadopoulos, P T Khaw
Sep 29, 2011·Journal of Glaucoma·Christopher A GirkinMartin S Cogen
Oct 23, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Christopher A GirkinMartin S Cogen
Mar 15, 2011·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Allen D BeckOmar Mobin-Uddin
Aug 17, 2005·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Daniel E Neely
Feb 7, 2006·American Journal of Ophthalmology·Elizabeth A Verner-ColeRobert M Feldman
May 24, 2013·Seminars in Ophthalmology·Sami AlodhaybKhaled K Abu-Amero
Dec 18, 2015·The British Journal of Ophthalmology·Yan ShiNingli Wang
Jan 23, 2018·Acta Ophthalmologica·Franz Grehn
Jul 3, 2018·Journal of Glaucoma·Anani P ToshevFranz Grehn
Nov 28, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Ahmad K Khalil

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