D'Amelio Savino, Gremmo Giulia, Gremmo Enrico, Demasi Christian L
Department of Pediatric Ophthalmology, Ophthalmic Hospital C. Sperino, Turin, Italy.
J Glaucoma. 2016 Aug;25(8):e753-5. doi: 10.1097/IJG.0000000000000474.
Fiberoptic microcatheter-assisted 360-degree trabeculotomy ab externo is a recent technique. Retrospective studies have proved the effectiveness as a first-angle surgery in eyes with primary congenital glaucoma. However, there are no reports in which it is performed after another unsuccessful surgical procedure. We present our case of a monolateral congenital glaucoma. We first performed an ab externo trabeculotomy with poor control of intraocular pressure (IOP). Then, a microcatheter-assisted 360-degree trabeculotomy was performed with IOP lowering. Microcatheter-assisted 360-degree trabeculotomy supplies successful IOP lowering after another angle surgery procedure.
光纤微导管辅助外路360度小梁切开术是一项新技术。回顾性研究已证实其作为原发性先天性青光眼首次手术的有效性。然而，尚无在另一次手术失败后进行该手术的报道。我们报告了一例单侧先天性青光眼病例。我们首先进行了外路小梁切开术，但眼压控制不佳。然后，进行了微导管辅助360度小梁切开术，眼压降低。微导管辅助360度小梁切开术在另一次房角手术失败后成功降低了眼压。
