Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laser suture lysis after trabeculectomy.

J A Savage1, G P Condon, R A Lytle

  • 1New England Glaucoma Research Foundation, Boston.

Ophthalmology
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ovarian follicular flushing as a means of increasing oocyte yield and <i>in vitro</i> embryo production in cattle.

Reproduction, fertility, and development·2024
Same author

Analysis of bovine blastocysts indicates ovarian stimulation does not induce chromosome errors, nor discordance between inner-cell mass and trophectoderm lineages.

Theriogenology·2020
Same author

Emerging tropical diseases in Australia. Part 5. Hendra virus.

Annals of tropical medicine and parasitology·2011
Same author

Reconstruction of a functioning vagina following radiation therapy for cancer cervix.

Surgery, gynecology & obstetrics·2010
Same author

Surface and bulk absorption in germanium at 10.6 microm.

Applied optics·2010
Same author

Infrared optical glasses for applications in 8-12-microm thermal imaging systems.

Applied optics·2010

Laser suture lysis after trabeculectomy offers early safety and late intraocular pressure (IOP) control for glaucoma patients. This technique allows controlled IOP reduction, enhancing surgical outcomes and patient stability.

Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Surgical Techniques

Background:

  • Trabeculectomy provides early safety but can lead to late hypotony.
  • Full-thickness glaucoma filtration surgery offers late intraocular pressure (IOP) control.
  • Combining these techniques aims to optimize glaucoma management.

Purpose of the Study:

  • To evaluate the efficacy and safety of laser suture lysis after primary trabeculectomy.
  • To achieve early postoperative stability and controlled late IOP reduction.
  • To mitigate the risks associated with traditional glaucoma filtration surgeries.

Main Methods:

  • Laser suture lysis was performed on 43 eyes of 38 patients with chronic open-angle glaucoma post-trabeculectomy.
  • The technique involved serial release of resistance to aqueous outflow.

Related Experiment Videos

  • Trabeculectomy closure was gradually loosened to control IOP.

    • Main Results:

    • The average IOP decreased from 25.0 mmHg preoperatively to 12.2 mmHg postoperatively in 25 eyes with 6-month follow-up.
    • Laser suture lysis allowed for controlled, titrated IOP reduction.
    • Complications were observed to decrease with surgical experience.

    Conclusions:

    • Laser suture lysis is an effective method for managing intraocular pressure after trabeculectomy.
    • This technique combines the safety of early trabeculectomy with the IOP-lowering benefits of filtration surgery.
    • It offers a controlled approach to reduce IOP and improve surgical outcomes in glaucoma patients.