Survey of Ophthalmology
Volume 57, Issue 1 , Pages 1-25 , 2 January 2012

The Changing Conceptual Basis of Trabeculectomy: A Review of Past and Current Surgical Techniques

  • M. Reza Razeghinejad, MD

      Affiliations

    • Wills Eye Institute, Jefferson Medical College, Philadelphia, Pennsylvania, USA
    • Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran
    • Corresponding Author InformationReprint address: M. Reza Razeghinejad, MD, Wills Eye Institute, Jefferson Medical College, 840 Walnut Street, Suite 1140, Philadelphia, PA 19107.
  • ,
  • Scott J. Fudemberg, MD

      Affiliations

    • Wills Eye Institute, Jefferson Medical College, Philadelphia, Pennsylvania, USA
  • ,
  • George L. Spaeth, MD

      Affiliations

    • Wills Eye Institute, Jefferson Medical College, Philadelphia, Pennsylvania, USA

  • Image Result

    A: iTrack passed through Schlemm’s canal 360° with a 10-0 Prolene suture knotted to one end of the probe. B: Tightening a 10-0 Prolene suture passed through Schlemm’s canal in canaloplasty surgery.

    A: iTrack passed through Schlemm’s canal 360° with a 10-0 Prolene suture knotted to one end of the probe. B: Tightening a 10-0 Prolene suture passed through Schlemm’s canal in canaloplasty surgery.

  • Image Result

    Tip of the Trabectome inside Schlemm’s canal ablating a strip of trabecular meshwork and inner wall of Schlemm’s canal.

    Tip of the Trabectome inside Schlemm’s canal ablating a strip of trabecular meshwork and inner wall of Schlemm’s canal.

  • Image Result

    A: The iStent trabecular micro-bypass stent. B: The stent in Schlemm’s canal bypassing the trabeculum.

    A: The iStent trabecular micro-bypass stent. B: The stent in Schlemm’s canal bypassing the trabeculum.

  • Image Result

    A: Excised narrower deep scleral flap under the superficial scleral flap in deep sclerectomy. B: Ultrasound biomicroscopic image showing intrascleral aqueous lake in a patient with deep sclerectomy

    A: Excised narrower deep scleral flap under the superficial scleral flap in deep sclerectomy. B: Ultrasound biomicroscopic image showing intrascleral aqueous lake in a patient with deep sclerectomy

PII: S0039-6257(11)00166-4

doi: 10.1016/j.survophthal.2011.07.005

Survey of Ophthalmology
Volume 57, Issue 1 , Pages 1-25 , 2 January 2012