Modified Trabeculectomy With No Iridectomy Quick and Effective
November 7, 2011
Surgeons in the U.K. describe a modified trabeculectomy, where a scleral pocket is made and a punch of trabecular tissue is excised inside the pocket using a Jacobs punch. No iridectomy. Viscoelastic is irrigated into the anterior chamber and is left in there- a small ooze of viscoelastic should be seen at the opening of the scleral pocket. No sutures. One can easily convert to standard trab by incising one or both sides of the scleral pocket, doing iridectomy and suturing the flap. The surgeons note perfectly comparable results to standard trab.
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