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Angle Surgery: Trabeculotomy

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Surgical Management of Childhood Glaucoma

Abstract

In this section, we address the role and execution of ab externo trabeculotomy in pediatric glaucoma. We provide an in-depth comparison of different techniques with detailed descriptions of traditional trabeculotomy with metal trabeculotome, ab externo circumferential trabeculotomy with either an illuminated microcatheter or blunted suture filament, and trabeculotomy combined with filtration surgery such as combined trabeculectomy-trabeculotomy and filtering trabeculotomy. For each there are sections on preoperative preparation, execution of the relevant surgery (with tips for problem-solving and avoiding complications), and postoperative management of the child. In addition, there is a comprehensive review of the literature to date, describing the evolution of trabeculotomy in the management of the pediatric glaucomas, and the evidence base for variations in technique, surgical preferences, and outcomes.

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Author information

Authors and Affiliations

  1. Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA

    Beth Edmunds

  2. Department of Ophthalmology, Emory University, Atlanta, GA, USA

    Allen D. Beck

  3. Department of Ophthalmology, Childhood Glaucoma Center, University Medical Center Mainz, Mainz, Germany

    Esther Hoffmann

  4. Department of Ophthalmology, University Hospitals Würzburg, Würzburg, Germany

    Franz Grehn

Authors
  1. Beth Edmunds
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  2. Allen D. Beck
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  3. Esther Hoffmann
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  4. Franz Grehn
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Corresponding author

Correspondence to Beth Edmunds .

Editor information

Editors and Affiliations

  1. Samuel & Ethel Balkan International Pediatric Glaucoma Center, Bascom Palmer Eye Institute University of Miami Miller School of Medicine, Miami, FL, USA

    Alana L. Grajewski

  2. Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA

    Elena Bitrian

  3. Glaucoma Service Moorfields Eye Hospital, London, UK

    Maria Papadopoulos

  4. Department of Ophthalmology, Duke University Medical Center, Durham, NC, USA

    Sharon F. Freedman

Electronic Supplementary Material

Conventional trabeculotomy with metal trabeculotome (Courtesy of Professor Nader Bayoumi, Alexandria University, Egypt) (MP4 10860 kb)

Circumferential trabeculotomy, ab externo, with illuminated microcatheter (Courtesy of Beth Edmunds, MBChB, FRCOphth, MD) (MP4 80191 kb)

Circumferential trabeculotomy, ab externo, with blunted suture (Courtesy of Allen D. Beck, MD) (MPG 95372 kb)

Filtering trabeculotomy (Courtesy of Franz Grehn, MD, PhD) (MP4 153032 kb)

Combined trabeculectomy-trabeculotomy (CTT) (Courtesy of Professor Nader Bayoumi, Alexandria University, Egypt) (MP4 178733 kb)

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Edmunds, B., Beck, A.D., Hoffmann, E., Grehn, F. (2018). Angle Surgery: Trabeculotomy. In: Grajewski, A., Bitrian, E., Papadopoulos, M., Freedman, S. (eds) Surgical Management of Childhood Glaucoma. Springer, Cham. https://doi.org/10.1007/978-3-319-54003-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-54003-0_5

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  • Print ISBN: 978-3-319-54002-3

  • Online ISBN: 978-3-319-54003-0

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