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Minimally Invasive Glaucoma Surgery: Trabeculectomy Ab Interno

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Abstract

Trabeculectomy ab interno with the trabectome (Neomedix, Tustin, CA) was FDA approved in 2004. It was originally described as using electrocautery to ablate trabecular meshwork, unroofing the nasal Schlemm’s canal over 30–60°. The first series of 37 patients was highly successful demonstrating a mean 42 % decrease in IOP from a baseline of 28 mmHg after 1 year [1]. There were no cases of postoperative flat anterior chambers, hypotony, infection, wound leak, bleb formation, choroidal effusion, or loss of 2 lines of Snellen visual acuity. Trabectome surgery is similar to phacoemulsification in that it requires advanced equipment, is standardized, uses a small incision, and is very safe. The aim of this chapter is to discuss the indications, to detail the techniques that the authors have adopted, and to review the results and complications of trabectome surgery

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Health Sciences Center, Stony Brook University, Level 2, Room 152, Stony Brook, NY, 11794, USA

    Kevin Kaplowitz MD

  2. Department of Ophthalmology, University of Pittsburgh School of Medicine, 203 Lothrop Street, Eye and Ear Institute, Suite 819, Pittsburgh, PA, 15213, USA

    Nils A. Loewen MD, PhD

Authors
  1. Kevin Kaplowitz MD
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  2. Nils A. Loewen MD, PhD
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Corresponding author

Correspondence to Kevin Kaplowitz MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Rocky Vista University, Parker, CO, USA

    John R. Samples MD

  2. Western Glaucoma Foundation, Portland, OR, USA

    John R. Samples MD

  3. Cornea Consultants of Colorado, Littleton, CO, USA

    John R. Samples MD

  4. The Eye Clinic, Portland, OR, USA

    John R. Samples MD

  5. Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada

    Iqbal Ike K. Ahmed MD, FRCSC

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Kaplowitz, K., Loewen, N.A. (2014). Minimally Invasive Glaucoma Surgery: Trabeculectomy Ab Interno. In: Samples, J.R., Ahmed, I.I.K. (eds) Surgical Innovations in Glaucoma. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8348-9_16

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  • DOI: https://doi.org/10.1007/978-1-4614-8348-9_16

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8347-2

  • Online ISBN: 978-1-4614-8348-9

  • eBook Packages: MedicineMedicine (R0)

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