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Journals / Glokom Katarakt / 2014 / Cilt: 9 - Sayı: 4

Trabeculotomy: Ab Externo and Ab Interno Schlemm Canal Surgery

Trabekülotomi: Ab Externo ve Ab İnterno Schlemm Kanal Cerrahisi

İbrahim Feyzi HEPŞEN
Emre GÜLER
Hatice Tuğba ATALAY
Zeynep PEHLİVANLI AKTAŞ
Pages
291–298
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both ab externo and interno approaches can be performed combined with phacoemulsification

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Trabeculotomy is a Schlemm canal surgery to reduce the juxtacanalicular resistance between the trabecular meshwork and Schlemm channel which plays a major role in the pathophysiology of primary open angle glaucoma.
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Key Findings & Data:In recent years, the reports for suture and microcatheter 360 degree circumferential trabeculotomy increased its application for the treatment of adult glaucoma.
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Conclusion & Impact:Both ab externo and interno approaches can be performed combined with phacoemulsification
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Trabeculotomy is a Schlemm canal surgery to reduce the juxtacanalicular resistance between the trabecular meshwork and Schlemm channel which plays a major role in the pathophysiology of primary open angle glaucoma. To overcome the complications of standard trabeculectomy such as hypotony and late onset bleb related problems, alternative glaucoma surgeries have been performed. Among these the trabeculotomy has increasingly become popular. The effectiveness of trabeculotomy is well known in pediatric and congenital glaucomas. In recent years, the reports for suture and microcatheter 360 degree circumferential trabeculotomy increased its application for the treatment of adult glaucoma. Classically the trabeculotomy is performed ab externo however; it can also be performed ab interno, by clear corneal incision. Both ab externo and interno approaches can be performed combined with phacoemulsification

Özet

Trabekülotomi ameliyatı, primer açık açılı glokom patofizyolojisinde kritik önemi olan trabekülum ile Schlemm kanalı arasında yer alan jukstakanaliküler doku direncini ortadan kaldıran bir Schlemm kanal cerrahisidir. Halen standart kabul edilen trabekülektominin özellikle hipotoni ve geç bleb komplikasyonlarından kaçınmak için alternatif glokom cerrahileri geliştirilmiştir. Bu amaçla uygulanan birçok ameliyat yöntemleri içinde trabekülotominin yeri gittikçe artmaktadır. Trabekülotomi ameliyatının daha çok konjenital-pediyatrik glokom olguları için bir cerrahi seçenek olduğu bilinmektedir. Özellikle erişkinde sütür materyali ya da mikrokateterler ile yapılan 360 derece trabekülotomi için başarılı sonuçların bildirilmesi, bu yöntemlerin erişkin glokomunun tedavisinde de uygulama alanını arttırmıştır ve gittikçe daha popüler olması öngörülebilir. Klasik olarak ab externo yaklaşım ile uygulanan trabekülotomi, son yıllarda cerrahi teknik ve malzemelerdeki gelişmeler ile artık ab-interno yani saydam kornea yaklaşımıyla da yapılabilmektedir. Her iki yöntemle yapılan trabekülotomi ameliyatları fakoemülsifikasyon ile kombine edilebilmektedir

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Cite This Article

HEPŞEN, İ. F., GÜLER, E., ATALAY, H. T., AKTAŞ, Z. P. (2014). Trabeculotomy: Ab Externo and Ab Interno Schlemm Canal Surgery. Glokom Katarakt, Cilt: 9 - Sayı: 4, 291–298. https://ajindex.com/articles/208466

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