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Goniotomy, trabeculotomy produce most successful results in pediatric glaucoma
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WAIKOLOA, Hawaii — Goniotomy and trabeculotomy are the most effective surgical methods for infantile glaucoma, a speaker said here.
“The first thing that’s most important in these surgeries is visualization,” Ken K. Nischal, MD, FRCOphth, said at Hawaiian Eye 2013. “It’s really important to understand that the goniolens you use will affect how easy or how difficult the procedure becomes.”
Ken K. Nischal
Nischal said when performing a goniotomy on a child, he always wants to visualize the ciliary body first to determine whether the angle is normal or not.
During trabeculotomy, Nischal said his anesthesiologist exerts pressure onto the patient’s external jugular vein, thus raising the orbital venous pressure, which then engorges the sinus venosus sclera, or Schlemm’s canal.
He said this is a quick and efficient method for the surgeon to find Schlemm’s canal during trabeculotomy.
Disclosure: Nischal has no relevant financial disclosures.