[Minimally invasive angle surgery. The Trabectome].
The Trabectome provides a new perspective in angle surgery for open angle glaucoma. Through a 1.7 mm clear cornea tunnel, the juxtacanalicular meshwork is electroablated under gonioscopic control. Thereby, the collector channels in the outer wall of Schlemm's canal are uncovered and resistance to trabecular outflow is removed. From the literature and from our own experience, a pressure reduction by 30-35% can be achieved with a simultaneous reduction of eye drops by 50%. The Trabectome can conveniently be combined with phako-emulsification. Serious complications have not yet been reported. As the conjunctiva remains completely untouched, trabeculectomy, if necessary, could be performed without prognostic restrictions. With a realistic target pressure of approximately 16 mmHg, Trabectome surgery is indicated in patients with moderate optic nerve damage.
Jordan
J F
JF
Universitäts-Augenklinik Freiburg, Killianstraße 5, 79106, Freiburg. jens.jordan@uniklinik-freiburg.de
Neuburger
M
M
Reinhard
T
T
D019723:Endoscopes; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D014130:Trabeculectomy / Q000295:instrumentation*
Trans Am Ophthalmol Soc. 2006;104:40-50
17471324
Graefes Arch Clin Exp Ophthalmol. 2008 Aug;246(8):1163-8
18414886
Ophthalmologe. 1998 Feb;95(2):100-3
9545787
J Cataract Refract Surg. 2008 Jul;34(7):1096-103
18571075
Ophthalmologe. 2009 Feb;106(2):161-3
19148649
J Cataract Refract Surg. 2009 May;35(5):814-24
19393879
Graefes Arch Clin Exp Ophthalmol. 1996 Aug;234 Suppl 1:S204-8
8871175
Br J Ophthalmol. 1997 Apr;81(4):302-7
9215060
Ophthalmologe. 2007 Aug;104(8):730-2
17674005
Invest Ophthalmol Vis Sci. 2010 Mar;51(3):1498-504
19933180
Exp Eye Res. 2009 Apr;88(4):769-75
19114037
J Cataract Refract Surg. 2008 Mar;34(3):433-40
18299068
J Cataract Refract Surg. 2007 Jul;33(7):1217-26
17586378
Trans Am Ophthalmol Soc. 2008;106:149-59; discussion 159-60
19277230
Graefes Arch Clin Exp Ophthalmol. 2008 Dec;246(12):1653-64
18682974
Ophthalmology. 2005 Jun;112(6):962-7
15882909