PURPOSE To present a case of total Descemet's membrane detachment (DMD) after trabeculectomy and its surgical management. CASE REPORT A 68-year-old woman presented with large DMD and corneal edema one day after trabeculectomy. Intracameral air injection on day 3 was not effective. Choroidal effusion complicated the clinical picture with Descemet's membrane (DM) touching the lens. Choroidal ta...

purpose: to evaluate the results of one-site phacotrabeculectomy using sutureless tunnel technique without peripheral iridectomy (no-pi) in glaucoma patients with cataract methods: a retrospective study of cases which has been recorded of patients who have had one-site no-pi phacotrabeculectomy using sutureless tunnel technique. we collected pre- and postoperative data in all patients including...

They compared our approach with their technique 2 and described some advantages with their technique. They opined that our technique did not take advantage of the intrascleral fixation of the IOL because a 25-gauge vitrectomy was performed before IOL fixation. With their technique, an anterior vitrectomy was performed using 25-gauge trocars for haptic externalization. We recommend performing a ...

AIM To investigate surgical outcomes and success predictors of transconjunctival scleral flap resuturing for the management of hypotony due to overfiltration following trabeculectomy with mitomycin C. MATERIALS AND METHODS Noncomparative, retrospective, interventional case series in which all glaucoma patients from two glaucoma services undergoing transconjunctival scleral flap resuturing bet...

Recently, many discussions occurred concerning non-penetrating filtering surgery. Viscocanalostomy and deep sclerectomy with external trabeculectomy are the most practiced techniques. Their goal is to reduce intraocular pressure by enhancing the natural aqueous outflow, while reducing its resistance. Both techniques involve the removal of a deep scleral flap, the external wall of Schlemm's cana...

purpose: to evaluate the histopathologic features of trabeculectomy specimens and the results of tra-beculectomy in relation with these features in patients with chronic primary glaucoma. methods: this interventional case series included 30 eyes of 28 patients with primary chronic glaucoma who underwent trabeculectomy between 2004 and 2006. each case was followed for 6 months post-operatively. ...

PURPOSE To devise a means of providing controlled resistance between the anterior chamber and the subconjunctival space after trabeculectomy by implantation of a biodegradable, porous collagen matrix. METHODS Matrices were implanted in the right eyes of 17 rabbits after trabeculectomy, while left eyes served as surgical controls. The scleral flap was sutured loosely, and the implant provided ...

PURPOSE To compare combined viscocanalostomy-trabeculectomy (VISCO-TRAB) to trabeculectomy (TRAB) for the management of advanced glaucoma. MATERIALS AND METHODS The study cohort comprised of 18 subjects with bilateral advanced glaucoma who underwent VISCO-TRAB surgery (VISCO-TRAB group) in the right eye and TRAB (TRAB group) in the left eye. VISCO-TRAB constituted lamellar scleral flap, deep ...

PURPOSE To evaluate postoperative outcomes and success after combined phacoemulsification and glaucoma surgery with Ex-PRESS miniature implant compared with combined surgery with standard trabeculectomy. METHODS In this prospective series of 40 consecutive eyes we compared 20 eyes in 17 patients treated with combined phacoemulsification and glaucoma filtering surgery with the Ex-PRESS miniatu...