PURPOSE To compare the two transscleral fixation (TSF) techniques of intrascleral pocket and conventional scleral flap with conjunctival division techniques in terms of short-term clinical effects. METHODS This retrospective cohort study included all consecutive patients with aphakia in Gyeongsang National University Hospital in Jinju, Korea, who underwent TSF between January 2012 and Decembe...

We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked i...

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. ...

Contemporary medical terminology frequently stems from ancient Greek origins. However, there is some controversy relating to the true derivation of the word ‘‘glaucoma’’. The disorder, now defined as glaucoma, was first documented by the Ancient Greeks in 400 BC. ‘‘Glaucosis’’ was first mentioned in Hippocratic writings as a blinding disease occurring most commonly in the elderly. The descripti...

OBJECTIVE Comparison of fornix- and limbus-based conjunctival flaps with respect to cystic bleb-related complications of trabeculectomy with high-dose mitomycin C (MMC) in pediatric and young adult glaucoma. DESIGN Retrospective nonrandomized comparative interventional case series. PARTICIPANTS Thirty-seven patients. METHODS Identification of patients aged <30 years from operating theater...

B LEBS. SHALLOW CHAMBERS. Bleb leaks. Flat chambers. Dellen. Blebitis. No bleb. Late failure. Hypotony. Choroidal effusions. Maculopathy. Is there a better way? If the problem is in the meshwork, why do we cut a hole in the eye? Viscocanalostomy and deep sclerectomy are surgical procedures for glaucoma that have been designed to avoid some of the complications of conventional glaucoma surgery. ...

AIM: To evaluate the safety and efficacy of posterior scleral application (a modified technique) an antimetabolite mitomycin C-soaked sponge in trabeculectomy for patients with glaucoma. METHODS: This retrospective study included 101 (115 eyes) glaucoma (aged 12–83y) who underwent using a placement method. A piece 3.5×10 mm2 was placed vertically posteriorly long side perpendicular to limbus. T...

A surgical technique using a round-tip scarifier to create smooth scleral bed surfaces was postulated and performed on patients. During dissection in the right-handed direction, the blade should be rotated approximately 15° counter-clockwise around the axis of its handle from the bed-surface plane; the blade is then rotated clockwise for incision in the opposite direction. The handle is simulta...

THE past few years have seen the rapid development of scleral buckling procedures for the treatment of retinal separation (Cavka, 1959; Schepens, Okamura, and Brockhurst, 1957; Schepens, Okamura, Brockhurst, and Regan, 1960; Fison, McAuley, Meyer-Schwickerath, and Trevor-Roper, 1960). About 6 years ago I first used the lamellar scleral flap to cover the area of resection. The flap covered the k...