Ab interno trabeculectomy: patient selection and perspectives

Kateki Vinod, Steven J Gedde Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Abstract: Ab interno trabeculectomy is one among several recently introduced minimally invasive glaucoma surgeries that avoid a conjunctival incision and full-thickness sclerosto...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Vinod K, Gedde SJ
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://doaj.org/article/321444f6a09547e5a9e944552fd2d8c0
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:321444f6a09547e5a9e944552fd2d8c0
record_format dspace
spelling oai:doaj.org-article:321444f6a09547e5a9e944552fd2d8c02021-12-02T02:48:37ZAb interno trabeculectomy: patient selection and perspectives1177-5483https://doaj.org/article/321444f6a09547e5a9e944552fd2d8c02016-08-01T00:00:00Zhttps://www.dovepress.com/ab-interno-trabeculectomy-patient-selection-and-perspectives-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kateki Vinod, Steven J Gedde Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Abstract: Ab interno trabeculectomy is one among several recently introduced minimally invasive glaucoma surgeries that avoid a conjunctival incision and full-thickness sclerostomy involved in traditional glaucoma surgery. Ablation of the trabecular meshwork and inner wall of Schlemm’s canal is performed in an arcuate fashion via a clear corneal incision, alone or in combination with phacoemulsification cataract surgery. Intraocular pressure reduction following ab interno trabeculectomy is limited by resistance in distal outflow pathways and generally stabilizes in the mid-to-high teens. Relief of medication burden has been demonstrated by some studies. A very low rate of complications, most commonly transient hyphema and intraocular pressure elevations in the immediate postoperative period, have been reported. However, available data are derived from small retrospective and prospective case series. Randomized, controlled trials are needed to better elucidate the potential merits of ab interno trabeculectomy in the combined setting versus phacoemulsification cataract surgery alone and to compare it with other minimally invasive glaucoma surgeries. Keywords: ab interno trabeculectomy, glaucoma, intraocular pressure, minimally invasive glaucoma surgery, surgical outcomesVinod KGedde SJDove Medical PressarticleAb interno trabeculectomyglaucomaintraocular pressureminimally-invasive glaucoma surgerysurgical outcomesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1557-1564 (2016)
institution DOAJ
collection DOAJ
language EN
topic Ab interno trabeculectomy
glaucoma
intraocular pressure
minimally-invasive glaucoma surgery
surgical outcomes
Ophthalmology
RE1-994
spellingShingle Ab interno trabeculectomy
glaucoma
intraocular pressure
minimally-invasive glaucoma surgery
surgical outcomes
Ophthalmology
RE1-994
Vinod K
Gedde SJ
Ab interno trabeculectomy: patient selection and perspectives
description Kateki Vinod, Steven J Gedde Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Abstract: Ab interno trabeculectomy is one among several recently introduced minimally invasive glaucoma surgeries that avoid a conjunctival incision and full-thickness sclerostomy involved in traditional glaucoma surgery. Ablation of the trabecular meshwork and inner wall of Schlemm’s canal is performed in an arcuate fashion via a clear corneal incision, alone or in combination with phacoemulsification cataract surgery. Intraocular pressure reduction following ab interno trabeculectomy is limited by resistance in distal outflow pathways and generally stabilizes in the mid-to-high teens. Relief of medication burden has been demonstrated by some studies. A very low rate of complications, most commonly transient hyphema and intraocular pressure elevations in the immediate postoperative period, have been reported. However, available data are derived from small retrospective and prospective case series. Randomized, controlled trials are needed to better elucidate the potential merits of ab interno trabeculectomy in the combined setting versus phacoemulsification cataract surgery alone and to compare it with other minimally invasive glaucoma surgeries. Keywords: ab interno trabeculectomy, glaucoma, intraocular pressure, minimally invasive glaucoma surgery, surgical outcomes
format article
author Vinod K
Gedde SJ
author_facet Vinod K
Gedde SJ
author_sort Vinod K
title Ab interno trabeculectomy: patient selection and perspectives
title_short Ab interno trabeculectomy: patient selection and perspectives
title_full Ab interno trabeculectomy: patient selection and perspectives
title_fullStr Ab interno trabeculectomy: patient selection and perspectives
title_full_unstemmed Ab interno trabeculectomy: patient selection and perspectives
title_sort ab interno trabeculectomy: patient selection and perspectives
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/321444f6a09547e5a9e944552fd2d8c0
work_keys_str_mv AT vinodk abinternotrabeculectomypatientselectionandperspectives
AT geddesj abinternotrabeculectomypatientselectionandperspectives
_version_ 1718402094436712448