Training strategies and outcomes of ab interno trabeculectomy with the trabectome

F1000Research
Katherine FallanoNils A Loewen

Abstract

Plasma-mediated ab interno trabeculectomy with the trabectome was first approved by the US Food and Drug Administration in 2004 for use in adult and pediatric glaucomas. Since then, increased clinical experience and updated outcome data have led to its expanded use, including a range of glaucomas and angle presentations, previously deemed to be relatively contraindicated. The main benefits are a high degree of safety, ease, and speed compared to traditional filtering surgery and tube shunts. The increasing burden of glaucoma and expanding life expectancy has resulted in demand for well-trained surgeons. In this article, we discuss the results of trabectome surgery in standard and nonstandard indications. We present training strategies of the surgical technique that include a pig eye model, and visualization exercises that can be performed before and at the conclusion of standard cataract surgery in patients who do not have glaucoma. We detail the mechanism of enhancing the conventional outflow pathway and describe methods of visualization and function testing.

References

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Citations

Sep 28, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hamed EsfandiariNils A Loewen
Apr 30, 2019·Journal of Cataract and Refractive Surgery·Hamed EsfandiariNils A Loewen
Dec 27, 2019·Journal of Glaucoma·Arvi-Matti KuusniemiMika Harju
Sep 23, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Y Al YousefNils A Loewen
Apr 5, 2018·Scientific Reports·Yalong DangNils A Loewen
Aug 11, 2018·Journal of Glaucoma·Ayesha KarimiDan Lindfield
May 31, 2018·Investigative Ophthalmology & Visual Science·Susannah WaxmanNils A Loewen
May 7, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Si ChenNils A Loewen
Dec 3, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·A StrzalkowskaNils A Loewen

Related Concepts

Diagnostic Techniques, Surgical
Glaucoma
Plasma
Family suidae
Trabeculectomy
Angular
Filtering Surgery
Operative Surgical Procedures
Surgeon
Experience

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