Ab Interno Trabeculotomy with Trabectome(R) for Refractory Primary Open-Angle Glaucoma: A Case Report.
10.3341/jkos.2011.52.4.502
- Author:
Heeyoung CHUNG
1
;
Jaewan CHOI
;
Jin Young CHOI
;
Yeon Deok KIM
Author Information
1. HanGil Eye Hospital, Incheon, Korea. oijee@hanmail.net
- Publication Type:Case Report
- Keywords:
Ab interno trabeculoctomy;
Trabectome
- MeSH:
Drainage;
Glaucoma;
Glaucoma, Open-Angle;
Humans;
Intraocular Pressure;
Middle Aged;
Postoperative Complications;
Trabecular Meshwork;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
2011;52(4):502-506
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of ab interno trabeculotomy with Trabectome(R) (NeoMedix Corp., CA, USA) conducted on a refractory primary open angle glaucoma (POAG) patient. CASE SUMMARY: Trabectome(R) has microelectrocautery with simultaneous infusion and aspiration of debris and ablates a segment of trabecular meshwork and the inner wall of Schlemm's canal. The patient, a 54-year-old man had uncontrolled intraocular pressure (IOP) with topical anti-glaucoma medications after trabeculectomy and Ahmed valve implantation for POAG. For the patient, ab interno trabeculotomy with Trabectome(R) was performed. There were no other postoperative complications except for microhyphema immediately after surgery. The IOP was controlled between 14 to 24 mm Hg up to 3 months postoperatively with topical anti-glaucoma medications (Cosopt(R), Alphagan-P(R), Lumigan(R)). CONCLUSIONS: Ab interno trabeculotomy with Trabectome(R) appears to offer a newer method of lowering IOP in POAG than conventional trabeculectomy and glaucoma drainage device surgery.
