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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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GLAUCOMA SURGERY UPDATE
Year : 2015  |  Volume : 22  |  Issue : 1  |  Page : 25-29

Ab interno trabeculectomy in the adult patient


Department of Ophthalmology, University of Colorado Eye Center, Aurora, USA

Correspondence Address:
Jeffrey R SooHoo
University of Colorado Eye Center, 1675 Aurora Court, Mail Stop F 731, P.O. BOX 6510, Aurora, CO 80045
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.148345

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Glaucoma is a potentially blinding disease that affects millions of people worldwide. The mainstay of treatment is lowering of intraocular pressure (IOP) through the use of medications, laser and/or incisional surgery. The trabecular meshwork (TM) is thought to be the site of significant resistance to aqueous outflow in open angle glaucoma. Theoretically, an incision through TM or TM removal should decrease this resistance and lead to a significant reduction in IOP. This approach, commonly referred to as goniotomy or trabeculotomy, has been validated in the pediatric population and has been associated with long-term IOP control. In adults, however, removal of TM tissue has been historically associated with more limited and short-lived success. More recent evidence, reveals that even adult patients may benefit significantly from removal of diseased TM tissue and can lead to a significant reduction in IOP that is long-lasting and safe. In this review, we discuss current evidence and techniques for ab interno trabeculectomy using various devices in the adult patient.


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