False passage

A complication of 360° suture trabeculotomy

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

The use of suture material to perform trabeculotomy was first described by Smith in 1960. The technique was subsequently refined by Beck and Lynch in 1995 when they presented a series of 26 eyes undergoing 360° trabeculotomy using a single length of 6-O polypropylene suture. In this new modification, a suture fragment is passed through the entire length of Schlemm's canal via a partial thickness scleral flap. Once passed, the 2 free ends of the suture are pulled, opening all 360° of the angle as the suture tears into the anterior chamber. The potential advantage of this technique is the ability to open the entire angle through only one incision during a single surgical procedure. By contrast, conventional trabeculotomy with metal trabeculotomes is only able to open one-third to one-half of the angle circumference at a single session and would require at least 2 separate incisions to complete for 360° angle surgery. This report describes a potential complication of suture trabeculotomy; false passage into the subscleral (suprachoroidal) space.

Original languageEnglish
Pages (from-to)396-397
Number of pages2
JournalJournal of AAPOS
Volume9
Issue number4
DOIs
StatePublished - Aug 2005

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Trabeculectomy
Sutures
Polypropylenes
Anterior Chamber
Tears
Metals

ASJC Scopus subject areas

  • Ophthalmology

Cite this

False passage : A complication of 360° suture trabeculotomy. / Neely, Daniel.

In: Journal of AAPOS, Vol. 9, No. 4, 08.2005, p. 396-397.

Research output: Contribution to journalArticle

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