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When Suture Stops in Prolene GATT

Zeynep Aktas, MD, FEBO

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A case of a 57-year-old patient with pseudoexfoliative glaucoma and a previous history of failed filtrating surgery has been presented in the video. Gonioscopy assisted transluminal trabeculotomy (GATT) with 6-0 prolene suture was performed in this case. After the introduction of the suture into the Schlemm's canal (SC), suture stopped somewhere in the SC. Since the blunted tip of the prolene suture got stuck in the SC, the proximal end of the suture was pulled in appropriate direction to do trabeculotomy up to the point where it stopped instead of pulling it back. Then, the suture was introduced into the SC again and advanced in another direction to complete circumferential trabeculotomy. Some important tips and tricks are emphasized to demonstrate what to do when the suture stops in the SC, which might be seen in cases with a history of previous filtrating surgery. This video is presented by Zeynep Aktas, MD, FEBO.

Posted: 10/02/2018

Keywords:

GT Film Fest 2018

•

Microinvasive Glaucoma Surgery (MIGS)

•

Trabeculotomy

•

Zeynep Aktas, MD, FEBO

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When Suture Stops in Prolene GATT

Zeynep Aktas, MD, FEBO

A case of a 57-year-old patient with pseudoexfoliative glaucoma and a previous history of failed filtrating surgery has been presented in the video. Gonioscopy assisted transluminal trabeculotomy (GATT) with 6-0 prolene suture was performed in this case. After the introduction of the suture into the Schlemm's canal (SC), suture stopped somewhere in the SC. Since the blunted tip of the prolene suture got stuck in the SC, the proximal end of the suture was pulled in appropriate direction to do trabeculotomy up to the point where it stopped instead of pulling it back. Then, the suture was introduced into the SC again and advanced in another direction to complete circumferential trabeculotomy. Some important tips and tricks are emphasized to demonstrate what to do when the suture stops in the SC, which might be seen in cases with a history of previous filtrating surgery. This video is presented by Zeynep Aktas, MD, FEBO.

Posted: 10/02/2018

Keywords:

GT Film Fest 2018

•

Microinvasive Glaucoma Surgery (MIGS)

•

Trabeculotomy

•

Zeynep Aktas, MD, FEBO

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