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Paul Palmberg, MD, PhD
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Paul Palmberg, MD, PhD, presents techniques that he says make tube surgery easier to perform and more safe:
1) The advantage of a wide conjunctival-Tenons flap (getting under Tenons via a lateral relaxing incision so as to only cut it at its insertion, avoiding bleeding)
2) "Reverse Chopsticks" technique for placing a Baerveldt under the muscles without check ligament entrapment
3) "Bicycle Kick" use of muscle hook during anchoring suture placement
4) Ligation and fenestration of tube
5) Guaranteed proper tube trim
6) Groove and bent needle technique to allow changing needle path from scleral parallel to iris parallel
7) Postop tube fenestration at the slit lamp
8) Laser lysis of ligature
9) Inside-out laser iridotomy using goniomirror to view tube obstruction
Posted: 11/19/2024
Paul Palmberg, MD, PhD
Paul Palmberg, MD, PhD, presents techniques that he says make tube surgery easier to perform and more safe:
1) The advantage of a wide conjunctival-Tenons flap (getting under Tenons via a lateral relaxing incision so as to only cut it at its insertion, avoiding bleeding)
2) "Reverse Chopsticks" technique for placing a Baerveldt under the muscles without check ligament entrapment
3) "Bicycle Kick" use of muscle hook during anchoring suture placement
4) Ligation and fenestration of tube
5) Guaranteed proper tube trim
6) Groove and bent needle technique to allow changing needle path from scleral parallel to iris parallel
7) Postop tube fenestration at the slit lamp
8) Laser lysis of ligature
9) Inside-out laser iridotomy using goniomirror to view tube obstruction
Posted: 11/19/2024
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