Implantation of trabecular micro-bypass stent using a novel “landing strip” technique
AIM: To describe a novel technique of creating a landing strip within the trabecular meshwork to guide trabecular micro-bypass stent (iStent) implantation in patients who underwent phacoemulsification. METHODS: Thirty-four eyes from 30 patients who underwent iStent implantation after phacoemulsific...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2017-05-01
|
| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.cn/en_publish/2017/5/20170513.pdf |
| _version_ | 1818310617476366336 |
|---|---|
| author | Cindy X. Zheng Marlene R. Moster Priyanka Gogte Yang Dai Remy S. Manzi Michael Waisbourd |
| author_facet | Cindy X. Zheng Marlene R. Moster Priyanka Gogte Yang Dai Remy S. Manzi Michael Waisbourd |
| author_sort | Cindy X. Zheng |
| collection | DOAJ |
| description | AIM: To describe a novel technique of creating a landing strip within the trabecular meshwork to guide trabecular micro-bypass stent (iStent) implantation in patients who underwent phacoemulsification.
METHODS: Thirty-four eyes from 30 patients who underwent iStent implantation after phacoemulsification from May 2014 to February 2015 were included in our retrospective study. All iStents were implanted via the “landing strip” technique. A 25-gauge microvitreoretinal blade was used to bisect the trabecular meshwork to less than 1 clock-hour, effectively creating a landing strip. The iStent applicator was pressed along the landing strip and then the stent was released into the trabecular meshwork.
RESULTS: Of the 34 eyes with iStent implantation, 27 (79.4%) eyes had primary open-angle glaucoma, 6 (17.6%) eyes had pseudoexfoliation glaucoma, and 1 (2.9%) eye had ocular hypertension. At 6-month follow-up (n=17), the mean number of hypotensive medications decreased from 2.2±1.2 at baseline to 0.8±1.3 (P=0.05) and mean intraocular pressure decreased from 19.7±4.1 mm Hg at baseline to 16.7±2.1 mm Hg (P=0.58). Two eyes (5.9%) required subsequent trabeculectomy.
CONCLUSION: The “landing strip” technique appears to be an effective way to assist with iStent implantation. |
| first_indexed | 2024-12-13T07:48:55Z |
| format | Article |
| id | doaj.art-a984caa3584f40c3b7f7548066ae4d74 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-13T07:48:55Z |
| publishDate | 2017-05-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-a984caa3584f40c3b7f7548066ae4d742022-12-21T23:54:45ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982017-05-0110573874110.18240/ijo.2017.05.13Implantation of trabecular micro-bypass stent using a novel “landing strip” techniqueCindy X. Zheng0Marlene R. Moster1Priyanka Gogte2Yang Dai3Remy S. Manzi4Michael Waisbourd5Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAAIM: To describe a novel technique of creating a landing strip within the trabecular meshwork to guide trabecular micro-bypass stent (iStent) implantation in patients who underwent phacoemulsification. METHODS: Thirty-four eyes from 30 patients who underwent iStent implantation after phacoemulsification from May 2014 to February 2015 were included in our retrospective study. All iStents were implanted via the “landing strip” technique. A 25-gauge microvitreoretinal blade was used to bisect the trabecular meshwork to less than 1 clock-hour, effectively creating a landing strip. The iStent applicator was pressed along the landing strip and then the stent was released into the trabecular meshwork. RESULTS: Of the 34 eyes with iStent implantation, 27 (79.4%) eyes had primary open-angle glaucoma, 6 (17.6%) eyes had pseudoexfoliation glaucoma, and 1 (2.9%) eye had ocular hypertension. At 6-month follow-up (n=17), the mean number of hypotensive medications decreased from 2.2±1.2 at baseline to 0.8±1.3 (P=0.05) and mean intraocular pressure decreased from 19.7±4.1 mm Hg at baseline to 16.7±2.1 mm Hg (P=0.58). Two eyes (5.9%) required subsequent trabeculectomy. CONCLUSION: The “landing strip” technique appears to be an effective way to assist with iStent implantation.http://www.ijo.cn/en_publish/2017/5/20170513.pdf741iStenttrabecular micro-bypass stentmicroinvasive glaucoma surgeryglaucomatrabecular meshwork |
| spellingShingle | Cindy X. Zheng Marlene R. Moster Priyanka Gogte Yang Dai Remy S. Manzi Michael Waisbourd Implantation of trabecular micro-bypass stent using a novel “landing strip” technique International Journal of Ophthalmology 741 iStent trabecular micro-bypass stent microinvasive glaucoma surgery glaucoma trabecular meshwork |
| title | Implantation of trabecular micro-bypass stent using a novel “landing strip” technique |
| title_full | Implantation of trabecular micro-bypass stent using a novel “landing strip” technique |
| title_fullStr | Implantation of trabecular micro-bypass stent using a novel “landing strip” technique |
| title_full_unstemmed | Implantation of trabecular micro-bypass stent using a novel “landing strip” technique |
| title_short | Implantation of trabecular micro-bypass stent using a novel “landing strip” technique |
| title_sort | implantation of trabecular micro bypass stent using a novel landing strip technique |
| topic | 741 iStent trabecular micro-bypass stent microinvasive glaucoma surgery glaucoma trabecular meshwork |
| url | http://www.ijo.cn/en_publish/2017/5/20170513.pdf |
| work_keys_str_mv | AT cindyxzheng implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique AT marlenermoster implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique AT priyankagogte implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique AT yangdai implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique AT remysmanzi implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique AT michaelwaisbourd implantationoftrabecularmicrobypassstentusinganovellandingstriptechnique |