Mini-trabeculectomy without radial incisions.
OBJECTIVE
To describe a new modification of Cairns trabeculectomy.


METHODS
Surgical adjustment includes a small, 3-mm, fornix-based conjunctival flap, a circumferential scleral incision at a distance of only 1 mm from the corneoscleral limbus, and a sclerocorneal tunnel without scleral radial incisions.


RESULTS
Among the various clinical and technical advantages of the procedure is the possibility of performing more operations through the superior limbus rather than reverting to an inferior trabeculectomy or implantation of an aqueous shunt.


CONCLUSIONS
The reduced surgical area and manipulations of the current procedure appear to offer advantages over the standard approach.
Division of Ophthalmology, Hillel-Yaffe Medical Center, Hadera, Israel.
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Ophir
D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000601:surgery; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000601:surgery; D013524:Surgical Flaps; D014130:Trabeculectomy / Q000379:methods*