Trabeculotomy combined with phacoemulsification, intraocular lens implantation and sinusotomy for exfoliation glaucoma

Abstract

PTOS can be recommended as an initial glaucoma surgery for XFG eyes with coexisting cataracts, because PTOS is not a filtering surgery, but can obtain similar IOP effects as PTE for XFG eyes.

A comparison of the 1-year surgical outcomes ofab externotrabeculotomy and microhookab internotrabeculotomy using propensity score analysis

“…Previous studies reported that ab externo TLO achieved mean postoperative IOPs ranging from 12.3 to 18.4 mm Hg,3–5 while Tanito et al showed that ab interno TLO had a mean postoperative IOP of 11.8±4.5 mm Hg at 9.5 months postoperatively 14. Compared with these reports, our present postoperative IOP at 1 year was higher in both procedures ( ab externo TLO: 18.3±7.4 mm Hg, ab interno TLO: 17.8±6.3 mm Hg).…”

“…In ab externo TLO, the Schlemm’s canal is identified either by peeling off a scleral flap or by making an incision in the scleral wall over the Schlemm’s canal before a metal probe is inserted into the canal and rotated into the anterior chamber to perforate the inner wall of the canal. The ab externo TLO procedure has been shown to reduce intraocular pressure (IOP) not only in patients with childhood glaucoma1 2 but also in adult patients with primary open angle glaucoma (POAG), steroid glaucoma and exfoliation glaucoma, at early stages 3–5…”

“…Compared with trabeculectomy, TLO is a safer procedure with less frequency of the development of sight-threatening bleb-associated infection and hypotony due to its nature of reconstructing physiological aqueous humour drainage, while it has less magnitude in terms of IOP lowering ability. The mean postoperative IOP was reported to range from 12.3 to 18.4 mm Hg,3–5 thus discouraging its application for patients with advanced glaucoma who require lower target IOP.…”

Outcomes of 360° suture trabeculotomy with deep sclerectomy combined with cataract surgery for primary open angle glaucoma and coexisting cataract

“…Trabeculotomy (LOT) is a type of nonpenetrating surgery that involves opening Schlemm’s canal over 120°. It is effective not only for exfoliation glaucoma and congenital glaucoma,4,13 but also for primary open angle glaucoma (POAG) 5,6,10,13. In addition, it has been found to further reduce the IOP when performed in combination with cataract surgery 4,5.…”

“…It is effective not only for exfoliation glaucoma and congenital glaucoma,4,13 but also for primary open angle glaucoma (POAG) 5,6,10,13. In addition, it has been found to further reduce the IOP when performed in combination with cataract surgery 4,5. Moreover, LOT combined with cataract surgery and deep sclerectomy (DS) has been found to achieve the same surgical outcomes as trabeculectomy with cataract surgery 6…”