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.
Luntz
M H
MH
Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, Mount Sinai School of Medicine, New York, USA.
Fliegler
R D
RD
Mastrobattista
J
J
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