Subconjunctival THC:YAG laser sclerostomy under a partial thickness flap.
Holmium laser sclerostomy is a useful surgical procedure in eyes with refractory glaucoma. The success rate is 60%, comparable to the success rate with a seton, but there is a significantly lower rate of complications compared to a seton. Furthermore, the conjunctiva is minimally dissected and less surgical trauma is involved with the procedure, an advantage compared to other filtering operations. The use of a corneascleral flap producing a "guarded" Holmium sclerostomy reduces the incidence of complications and there were no flat or shallow anterior chambers in the 47 eyes operated on and reviewed in this study.
Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, Mount Sinai School of Medicine, New York, USA.
M H
MH
Luntz
R D
RD
Fliegler
J
J
Mastrobattista
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva; D005500:Follow-Up Studies; D005901:Glaucoma / Q000601:surgery*; D015812:Glaucoma, Angle-Closure / Q000601:surgery; D015355:Glaucoma, Neovascular / Q000601:surgery; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy; D008875:Middle Aged; D012599:Sclerostomy / Q000379:methods*; D013524:Surgical Flaps