Prospective and retrospective cohort study. Mandal A.K. COMINED TRABECULECTOMY & TRABECULOTOMY VS DEEP SCLERECTOMY IN CONGENITAL GLAUCOMA DR.FAISAL ALMOBARAK ASSISTANT PROFESSOR & CONSULTANT DEPARTMENT OF OPHTHALMOLOGY COLLEGE OF MEDICINE & KING SAUD UNIVERSITY SAUDI ARABIA Congenital glaucoma is a challenging , potentially blinding disease This is technically fairly simple, as many surgeons initially create a partial-thickness scleral flap during trabeculotomy, under which Schlemm's canal is located. Trabeculectomy is a standard surgery for glaucoma that lowers pressure inside the eye when medical treatments or laser surgery have failed to bring the eye pressure low enough. Inclusion criteria included a follow-up period of at least 6 years, availability of reliable static visual field results, etc. We prospectively recruited 68 patients who underwent TAT between May 2013 and July 2015, and retrospectively recruited 59 patients who underwent TLO between April 2010 and May 2013. Your eye healthcare provider might want to try other treatments first before performing a trabeculectomy. The gold standard surgery for treating congenital glaucoma. Combined trabeculotomy–trabeculectomy (CTT) has been found to yield superior results in comparison with conventional procedures (Elder 1994), yet there has been no study directly comparing the results of trabeculotomy with CTT for congenital glaucoma. The eye is filled with a fluid called aqueous (AKE-wee-us) humor (HUE-mer). To investigate the long-term outcome of trabeculotomy and to compare it with that of trabeculectomy. We retrospectively reviewed the medical records of patients who had undergone standalone trabeculotomy. 19. Trabeculectomy is a possible treatment for both closed-angle and open-angle types of glaucoma. To compare clinical outcomes between trabeculotomy ab externo (TLO) and trabecular ablation ab interno using a Trabectome (TAT) for open angle glaucoma (OAG). Results Sixteen eyes ofnine patients were treated with the combined trabeculotomy-trabeculectomy. In our experience, the primary combined trabeculotomy with trabeculectomy has shown a higher success rate with IOP control in eyes with PCG. ,, Combined trabeculectomy trabeculotomy and tube drainage surgery have also been described as alternative treatment options; both are associated with vision-threatening complications. Both trabeculotomy ab externo and trabeculectomy have been reported to be successful in congenital glaucoma with corneal opacification. In addition, the failure rate for trabeculectomy was more than three times that of tube-shunt surgery during the first year of follow-up. With MIGS, though, almost all are clear corneal. To report the safety and efficacy of combined trabeculotomy and trabeculectomy (CTT) in advanced primary developmental glaucoma with corneal diameter 14 mm or more. Trabeculotomy has given poorer in Saudi Arabia than elsewhere. The trabeculectomy is performed on the upper portion of the eye (under the upper eyelid), so this bleb and incisions of a trabeculectomy are not visible to you or others. Trabectome vs. iStent in moderate open-angle glaucoma-single surgery and its outcome 9 th Global Ophthalmology Summit March 15-16, 2017 London, UK. A trabeculectomy is surgery to treat open angle glaucoma. trabeculectomy or trabeculotomy was performed in both eyes except in unilateral cases. Trabeculotomy or goniotomy is needed in the early cases whereas trabeculectomy with or without trabeculotomy is the main surgical procedure in the more advanced cases. Originally, goniotomy and trabeculotomy were distinguished by the approach (clear corneal vs scleral). Trabeculotomy (tra-BECK-yoo-LOTT-o-mee) is a surgical procedure that helps reduce pressure in the eye by opening the eye’s drainage system to allow the eye to drain better. The study was undertaken in two centres in the United Kingdom where the regimes of medical treatment pri … Combined Trabeculotomy–Trabeculectomy. Hypotony: Hypotony is a condition in which eye pressure may fall too low. To evaluate the surgical outcome of combined trabeculotomy–trabeculectomy in Ghanaian children with primary congenital glaucoma. Even more noteworthy is a strong statement made by Dr. Kai Januschowski supporting canaloplasty over trabeculectomy as a “first line” surgical treatment. METHODS: This was a retrospective, comparative study of 40 eyes in 33 patients with pediatric glaucoma: 17 eyes treated with trabeculectomy and 23 eyes treated with combined trabeculotomy-trabeculectomy. Similar operations have been done since 1900. DISCHARGE INSTRUCTIONS: Seek care immediately if: You have severe eye pain. Trabeculotomy infrequently causes serious complications and seldom requires additional postoperative interventions [8, 9]. The fluid may not drain properly, causing glaucoma or increased pressure in the eye. The trabecular meshwork is the drainage system for your eye. all, trabeculectomy was more successful than goniotomyor trabeculotomyfor the Palestinian Arab children. And, the results heavily favor the safety of canaloplasty over trabeculectomy while also showing an impressive intraocular pressure reduction with canaloplasty. This procedure is similar to trabectome and another procedure called GATT (gonioscopy assisted transluminal trabeculotomy). Most glaucoma surgeons perform trabeculectomy as the first surgical procedure for eyes with glaucoma, but nearly all will admit that the procedure is far from ideal. Trabeculotomy can also be an effective surgical procedure as reported by Quigley who noted 80% success,18 and McPherson who found an 83% success rate.16 ... Trabeculectomy … Some clinicians have approached pediatric glaucomas with a combined trabeculotomy –trabeculectomy.

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