Trabeculectomy or Express Shunt Running Locking Closure

Gary Hirshfield MD

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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.

Posted: 10/17/2011

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Name: Trabeculectomy or Express Shunt Running Locking Closure
Uploaded: 2011-10-17T10:47:00+00:00
Description: 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.

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Trabeculectomy or Express Shunt Running Locking Closure

Gary Hirshfield MD

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.

Posted: 10/17/2011

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Comments

sukesh kansal

9 years ago

hello, what is the needle length of this suture.

Jon Stock

13 years ago

Dr. Hirshfield Simple, elegant technique with 3 minute video. Thank you.

Ilan Hartstein

14 years ago

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.

Gary Hirshfield

14 years ago

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.

Gary Hirshfield

14 years ago

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.

ari weitzner

14 years ago

and you made a typo in your comment! (crrect). you need to hire a copy editor! thanks again for your videos.

ari weitzner

14 years ago

fyi--misnomer--this is a fornix based conj flap. also- typo (assitant). i will use this closure next time! i like it a lot.