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Trabectome Versus Canaloplasty Versus Trabeculectomy in Treating Glaucoma

Posted By Dr. Ari Weitzner On February 26, 2009 @ 4:16 pm In Glaucoma | 2 Comments

Is trabectome just a fad? I think so. Fact is, we are doing glaucoma surgery on eyes that are really sick and need a pressure of around 12. Otherwise, the vast majority of our patients do pretty well with a combination of drops, laser and phaco. This trabectome won’t get pressures into the low teens.

I heard of another device that can be used during phaco that could drain aqueous intp the suprachoroidal space. Since no conjunctival manipulation is being done, you don’t “burn bridges” and can go to trab if you have to. If this is perfected, it sounds like a better deal.

Canaloplasty also sounds like a dead end. Have you seen the video?- that’s not easy surgery. And like trabectome, it won’t get pressures really low.

Looks like we’re stuck with trabs for now…


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