Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome

Bernd Junker,1 Jens F Jordan,2 Carsten Framme,1 Amelie Pielen1 1University Eye Hospital, Medical School Hannover, Hannover, 2Eye Center, Medical Center, University of Freiburg, Freiburg, Germany Importance: This study is the first description of the use of the intraoperative optical coherence tomo...

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Autores principales:	Junker B, Jordan JF, Framme C, Pielen A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Glaucoma Imaging iOCT Trabecular meshwork surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4b8d34477bdf4265b3d17303c7abe562
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spelling	oai:doaj.org-article:4b8d34477bdf4265b3d17303c7abe5622021-12-02T05:58:51ZIntraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome1177-5483https://doaj.org/article/4b8d34477bdf4265b3d17303c7abe5622017-09-01T00:00:00Zhttps://www.dovepress.com/intraoperative-optical-coherence-tomography-and-ab-interno-trabecular--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Bernd Junker,1 Jens F Jordan,2 Carsten Framme,1 Amelie Pielen1 1University Eye Hospital, Medical School Hannover, Hannover, 2Eye Center, Medical Center, University of Freiburg, Freiburg, Germany Importance: This study is the first description of the use of the intraoperative optical coherence tomography (iOCT) for trabecular meshwork surgery with the Trabectome in a regular clinical setting.Background: The aim of this study is to evaluate intraoperatively the immediate success of ab interno trabeculotomy with the Trabectome defined as a removal of the trabecular meshwork.Design: This is a retrospective clinical study performed in the University Eye Hospital, Medical School Hannover.Participants: A total of nine consecutive Caucasian patients suffering from primary open angle glaucoma, pigment dispersion glaucoma, or pseudoexfoliation glaucoma took part in the study.Methods: All patients underwent ab interno trabeculotomy surgery with the Trabectome using a commercially available iOCT to visualize the anterior chamber angle (ACA) before and after the procedure. The visualization was done using a modified Swan-Jacobs lens (all nine patients) or without lens (view from above, five patients).Main outcome measures: The main outcome of this study is the success of visualization of the ACA on iOCT, especially the postprocedural visualization of the wound gap after removal of the trabecular meshwork.Results: Using the view from above, the ACA could be visualized before and after the procedure in only two of the five cases. Using the modified Swan-Jacobs lens, the ACA could be visualized before the procedure and the trabecular meshwork opening after the procedure in all nine patients.Conclusion: The iOCT can be used to objectify the immediate success of the surgical procedure, ie, the removal of the trabecular meshwork, of ab interno trabeculotomy with the Trabectome. The procedure itself cannot be captured sufficiently via iOCT. Keywords: glaucoma, imaging, iOCT, trabecular meshwork surgeryJunker BJordan JFFramme CPielen ADove Medical PressarticleGlaucomaImagingiOCTTrabecular meshwork surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1755-1760 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma Imaging iOCT Trabecular meshwork surgery Ophthalmology RE1-994
spellingShingle	Glaucoma Imaging iOCT Trabecular meshwork surgery Ophthalmology RE1-994 Junker B Jordan JF Framme C Pielen A Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
description	Bernd Junker,1 Jens F Jordan,2 Carsten Framme,1 Amelie Pielen1 1University Eye Hospital, Medical School Hannover, Hannover, 2Eye Center, Medical Center, University of Freiburg, Freiburg, Germany Importance: This study is the first description of the use of the intraoperative optical coherence tomography (iOCT) for trabecular meshwork surgery with the Trabectome in a regular clinical setting.Background: The aim of this study is to evaluate intraoperatively the immediate success of ab interno trabeculotomy with the Trabectome defined as a removal of the trabecular meshwork.Design: This is a retrospective clinical study performed in the University Eye Hospital, Medical School Hannover.Participants: A total of nine consecutive Caucasian patients suffering from primary open angle glaucoma, pigment dispersion glaucoma, or pseudoexfoliation glaucoma took part in the study.Methods: All patients underwent ab interno trabeculotomy surgery with the Trabectome using a commercially available iOCT to visualize the anterior chamber angle (ACA) before and after the procedure. The visualization was done using a modified Swan-Jacobs lens (all nine patients) or without lens (view from above, five patients).Main outcome measures: The main outcome of this study is the success of visualization of the ACA on iOCT, especially the postprocedural visualization of the wound gap after removal of the trabecular meshwork.Results: Using the view from above, the ACA could be visualized before and after the procedure in only two of the five cases. Using the modified Swan-Jacobs lens, the ACA could be visualized before the procedure and the trabecular meshwork opening after the procedure in all nine patients.Conclusion: The iOCT can be used to objectify the immediate success of the surgical procedure, ie, the removal of the trabecular meshwork, of ab interno trabeculotomy with the Trabectome. The procedure itself cannot be captured sufficiently via iOCT. Keywords: glaucoma, imaging, iOCT, trabecular meshwork surgery
format	article
author	Junker B Jordan JF Framme C Pielen A
author_facet	Junker B Jordan JF Framme C Pielen A
author_sort	Junker B
title	Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
title_short	Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
title_full	Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
title_fullStr	Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
title_full_unstemmed	Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome
title_sort	intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the trabectome
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/4b8d34477bdf4265b3d17303c7abe562
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Intraoperative optical coherence tomography and ab interno trabecular meshwork surgery with the Trabectome

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