Search

Combining Mechanisms: Viscodilation, Trabeculotomy, and Hydrus Implantation

Inder Paul Singh, MD

Show Description +

This video describes combining various MIGS procedures with complementary mechanisms of action. This patient was on four medications with IOP in the upper 30s and moderate progressing OAG. I didn't want to wait for surgery even with concerns over COVID-19. I was tempted to perform a trabeculectomy, but I wanted to decrease the potential for adverse events which would cause the patient to have to return to the office more often. I therefore chose 360-degree viscodilation, 180-degree trabeculotomy, and Hydrus implantation to maximize conventional outflow. I could always consider a subconjunctival surgery if needed in the future. Postop day 1 IOP was 14 mmHg and with 20/30 visual acuity.

Posted: 4/22/2020

Keywords:

Hydrus Microshunt (Ivantis)

•

Microinvasive Glaucoma Surgery (MIGS)

•

Microinvasive Glaucoma Surgery (MIGS)

•

Trabeculotomy

Up Next

FLACS With Toric and iStent inject

FLACS With Toric and iStent inject

Blake Williamson, MD, MPH, MS

Targeted Placement of iStent Trabecular Micro-Bypass Stent (Glaukos)

Targeted Placement of iStent Trabecular Micro-Bypass Stent (Glaukos)

Eric Rosenberg, MD

Cataract Surgery Combined with Canaloplasty

Cataract Surgery Combined with Canaloplasty

Mahmoud A. Khaimi, MD

Needle Viscocanalostomy

Needle Viscocanalostomy

Eslam Ramadan, MD

Ahmed M4 Placement

Ahmed M4 Placement

Nathan Radcliffe MD

Hydrogel Sealant to Prevent Chamber Shallowing During Combined Phaco and Tube Shunt Insertion

Hydrogel Sealant to Prevent Chamber Shallowing During Combined Phaco and Tube Shunt Insertion

Ian Conner, MD

Supra-Tenons Baerveldt Glaucoma Drainage Device

Supra-Tenons Baerveldt Glaucoma Drainage Device

George Tanaka, MD

iStent Trabecular Microbypass Implantation Technique

iStent Trabecular Microbypass Implantation Technique

Ike K. Ahmed MD

Trabectome 180

Trabectome 180

Constance Okeke, MD, MSCE

New Directions for GT

New Directions for GT

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Combining Mechanisms: Viscodilation, Trabeculotomy, and Hydrus Implantation

Inder Paul Singh, MD

This video describes combining various MIGS procedures with complementary mechanisms of action. This patient was on four medications with IOP in the upper 30s and moderate progressing OAG. I didn't want to wait for surgery even with concerns over COVID-19. I was tempted to perform a trabeculectomy, but I wanted to decrease the potential for adverse events which would cause the patient to have to return to the office more often. I therefore chose 360-degree viscodilation, 180-degree trabeculotomy, and Hydrus implantation to maximize conventional outflow. I could always consider a subconjunctival surgery if needed in the future. Postop day 1 IOP was 14 mmHg and with 20/30 visual acuity.

Posted: 4/22/2020

Keywords:

Hydrus Microshunt (Ivantis)

•

Microinvasive Glaucoma Surgery (MIGS)

•

Microinvasive Glaucoma Surgery (MIGS)

•

Trabeculotomy

Please log in to leave a comment.

More in Glaucoma

Implementing Interventional Glaucoma Treatment Protocols

Implementing Interventional Glaucoma Treatment Protocols

Iqbal Ike K. Ahmed, MD, FRCSC; Christine Funke, MD; Deborah Ristvedt, DO; and Mark Gallardo, MD

Treatment Patterns and Patient Compliance

Treatment Patterns and Patient Compliance

Iqbal Ike K. Ahmed, MD, FRCSC; Christine Funke, MD; and Deborah Ristvedt, DO

Practice Assessment Results

Practice Assessment Results

Iqbal Ike K. Ahmed, MD, FRCSC; Christine Funke, MD; Deborah Ristvedt, DO; and Mark Gallardo, MD

The Unmet Need for a Consensus Treatment Approach to Glaucoma

The Unmet Need for a Consensus Treatment Approach to Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; Christine Funke, MD; Deborah Ristvedt, DO; and Mark Gallardo, MD