TJ-CEO
2015 , Vol 10 , Num 2
A Minimally İnvasive Procedure in Glaucoma Surgery: Trabectome
1M.D. Asistant Professor, GATA Haydarpasa Training and Research Hospital, Eye Clinic, Istanbul/TURKEY2M.D., GATA Haydarpasa Training and Research Hospital, Eye Clinic, Istanbul/TURKEY Traditional glaucoma surgery procedures has been challenged by the advent of innovative techniques and new implants in recent years. This new procedures and devices aim to lower intraocular pressure (IOP) with a higher safety profile than penetrating procedures and are collectively termed “Micro-invasive or Minimally Invasive Glaucoma Surgery (MIGS)”. Ab interno trabeculectomy surgery performed with trabectome is one of the new MIGS methods which increases physiological outflow and reduces IOP by removing trabecular meshwork and the inner wall of Schlemm's canal selectively. Trabectome surgery is considered as a good alternative surgical approach for patients who do not respond or do not tolerate to medication and aiming moderate reduction in intraocular pressure with different types of open angle glaucoma patients. However, trabectome surgery could be an initial surgical approach for patients who indicated for more invasive surgery but have no or little glaucomatous damage and also become an good option for patients who are not appropriate for penetrating surgery procedures. This article reviews the trials related to trabectome electrocautery device that is one of the new techniques of MIGS performed by ab interno approach. Keywords : Trabectome surgery, open angle glaucoma, minimally invasive glaucoma surgery