Trabeculectomy or Express Shunt Running Locking Closure
Dr. Gary Hirshfield shares a very simple, fail safe method for obtaining a water tight based conjunctival closure following trabeculectomy or Express glaucoma filtration device implantation.
2,605 views since 10/17/2011
Comments (6)
Dr. Hirshfield Simple, elegant technique with 3 minute video. Thank you.
The problem was probably not the nylon but the needle. You neeed to use a blood vessel(BV) or Vascular(VAS) needle as these will not cut the thin conj tissue.
I tried this recently but experience fraying of the conjunctival pedicle and cheesewiring of my suture. It could have been because I was using 10-0 nylon. I'll try it again with 9-0 vicryl.
and you made a typo in your comment! (crrect). you need to hire a copy editor! thanks again for your videos.
Oy- of course you are crrect it is a fornix based flap- I don't know how I made that mistake- thank you for the correction. Gary.
fyi--misnomer--this is a fornix based conj flap. also- typo (assitant). i will use this closure next time! i like it a lot.