360 degrees trabeculotomy for primary congenital glaucoma

Area of Science:

• Ophthalmology
• Surgical Innovation
• Glaucoma Research

Background:

• Primary congenital glaucoma (PCG) is a severe form of glaucoma requiring effective surgical management.
• Traditional trabeculotomy methods can be complex and may compromise conjunctival tissue.
• Need for improved surgical techniques in PCG management.

Purpose of the Study:

• To present a refined technique for 360-degree trabeculotomy in a single procedure.
• To evaluate the feasibility and advantages of this novel approach for PCG.
• To compare the refined technique with existing methods regarding surgical site and conjunctival preservation.

Main Methods:

• A refined 360-degree trabeculotomy technique was developed using a 6-0 polypropylene (Prolene) suture fragment.
• The procedure was performed in 15 patients (26 eyes) diagnosed with primary congenital glaucoma.
• The technique was executed via a single nasal surgical site.

Main Results:

• The refined trabeculotomy technique was successfully performed in all treated eyes.
• The procedure utilized a single nasal surgical approach, simplifying the surgical process.
• This method avoids difficulties associated with traditional metal trabeculotomes.
• Conjunctival tissue was preserved, which is crucial for potential future glaucoma surgeries.

Conclusions:

• The refined 360-degree trabeculotomy using a Prolene suture fragment is an effective and simplified surgical option for primary congenital glaucoma.
• This technique offers advantages over traditional methods, including a single surgical site and conjunctival preservation.
• The refined approach holds promise for improving surgical outcomes and managing PCG patients, especially when further interventions may be needed.