Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery
Masaki Tanito Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, Japan Abstract: Trabeculotomy (LOT) is performed to reduce the intraocular pressure in patients with glaucoma, both in children and adults. It relieves the resistance to aqueous flow by cleaving the trabecular meshwork and...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2017-12-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/microhook-ab-interno-trabeculotomy-a-novel-minimally-invasive-glaucoma-peer-reviewed-article-OPTH |
| _version_ | 1818852864818151424 |
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| author | Tanito M |
| author_facet | Tanito M |
| author_sort | Tanito M |
| collection | DOAJ |
| description | Masaki Tanito Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, Japan Abstract: Trabeculotomy (LOT) is performed to reduce the intraocular pressure in patients with glaucoma, both in children and adults. It relieves the resistance to aqueous flow by cleaving the trabecular meshwork and the inner walls of Schlemm’s canal. Microhook ab interno LOT (µLOT), a novel minimally invasive glaucoma surgery, incises trabecular meshwork using small hooks that are inserted through corneal side ports. An initial case series reported that both µLOT alone and combination of µLOT and cataract surgery normalize the intraocular pressure during the early postoperative period in Japanese patients with glaucoma. Microhook can incise the inner wall of Schlemm’s canal without damaging its outer wall easier than the regular straight knife that is used during goniotomy. Advantages of µLOT include: a wider extent of LOT (two-thirds of the circumference), a simpler surgical technique, being less invasiveness to the ocular surface, a shorter surgical time than traditional ab externo LOT, and no requirement for expensive devices. In this paper, the surgical technique of µLOT and tips of the technique are introduced. Keywords: trabecular meshwork, Schlemm’s canal, intraocular pressure, surgical procedure, glaucoma |
| first_indexed | 2024-12-19T07:27:42Z |
| format | Article |
| id | doaj.art-3f5cc6b7bae54e7faff1161def10902e |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-19T07:27:42Z |
| publishDate | 2017-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-3f5cc6b7bae54e7faff1161def10902e2022-12-21T20:30:47ZengDove Medical PressClinical Ophthalmology1177-54832017-12-01Volume 12434836072Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgeryTanito MMasaki Tanito Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, Japan Abstract: Trabeculotomy (LOT) is performed to reduce the intraocular pressure in patients with glaucoma, both in children and adults. It relieves the resistance to aqueous flow by cleaving the trabecular meshwork and the inner walls of Schlemm’s canal. Microhook ab interno LOT (µLOT), a novel minimally invasive glaucoma surgery, incises trabecular meshwork using small hooks that are inserted through corneal side ports. An initial case series reported that both µLOT alone and combination of µLOT and cataract surgery normalize the intraocular pressure during the early postoperative period in Japanese patients with glaucoma. Microhook can incise the inner wall of Schlemm’s canal without damaging its outer wall easier than the regular straight knife that is used during goniotomy. Advantages of µLOT include: a wider extent of LOT (two-thirds of the circumference), a simpler surgical technique, being less invasiveness to the ocular surface, a shorter surgical time than traditional ab externo LOT, and no requirement for expensive devices. In this paper, the surgical technique of µLOT and tips of the technique are introduced. Keywords: trabecular meshwork, Schlemm’s canal, intraocular pressure, surgical procedure, glaucomahttps://www.dovepress.com/microhook-ab-interno-trabeculotomy-a-novel-minimally-invasive-glaucoma-peer-reviewed-article-OPTHMicro-hook ab interno trabeculotomyminimally invasive glaucoma surgery (MIGS)intraocular pressuresurgical procedureglaucoma. |
| spellingShingle | Tanito M Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery Clinical Ophthalmology Micro-hook ab interno trabeculotomy minimally invasive glaucoma surgery (MIGS) intraocular pressure surgical procedure glaucoma. |
| title | Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery |
| title_full | Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery |
| title_fullStr | Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery |
| title_full_unstemmed | Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery |
| title_short | Microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery |
| title_sort | microhook ab interno trabeculotomy a novel minimally invasive glaucoma surgery |
| topic | Micro-hook ab interno trabeculotomy minimally invasive glaucoma surgery (MIGS) intraocular pressure surgical procedure glaucoma. |
| url | https://www.dovepress.com/microhook-ab-interno-trabeculotomy-a-novel-minimally-invasive-glaucoma-peer-reviewed-article-OPTH |
| work_keys_str_mv | AT tanitom microhookabinternotrabeculotomyanovelminimallyinvasiveglaucomasurgery |