Teknik Trabekulotomi untuk Glaukoma

Oleh :

dr. Felicia

Teknik trabekulotomi dilakukan dengan mengakses kanal Schlemm, kemudian membuka trabecular meshwork (TM) dengan menembus kanal Schlemm ke kamera okuli anterior.[6]

Pada trabekulotomi dikenal istilah ab externo dan ab interno yang merupakan metode untuk mengakses kamera okuli anterior untuk menemukan kanal Schlemm. Prosedur trabekulotomi dapat dibagi menjadi TRAB360 dan Gonioscopy–Assisted Transluminal Trabeculotomy (GATT).[12,13]

Persiapan Pasien

Referensi

3. Tanito M, Matsuo M. Ab-interno trabeculotomy-related glaucoma surgeries. Taiwan J Ophthalmol. 2019;9(2):67–71.
6. American Academy of Ophthalmology (AAO). 2022–2023 Basic and Clinical Science Course, Section 10: Glaucoma. Girkin CA, Bhorade AM, Crowston JG, Giaconi JA, Medeiros FA, Sit AJ, et al., editors. 2022. 281 p. (2022–2023).
8. Hausheer JR. Basic Techniques of Ophthalmic Surgery. 2019;641.
9. Salimi A, Nithianandan H, Al Farsi H, et al. Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) in younger to middle-aged adults: One-Year Outcomes. Ophthalmol Glaucoma. 2020 Sep 4; http://www.sciencedirect.com/science/article/pii/S258941962030226X
12. Papadopoulos M, Khaw SPT. Goniotomy and Trabeculotomy. In: Glaucoma. 2015. p. 1129–36. https://linkinghub.elsevier.com/retrieve/pii/B9780702051937001205
13. Lee RMH, Bouremel Y, Eames I, et al. The Implications of an Ab Interno Versus Ab Externo Surgical Approach on Outflow Resistance of a Subconjunctival Drainage Device for Intraocular Pressure Control. Transl Vis Sci Technol. 2019 Jun 28;8(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602120/
14. Kobayashi H. Trabeculotomy Augmented by Postoperative Topical Medications vs. Trabeculectomy Augmented by Mitomycin C. Adv Eye Surg. 2016 Feb 24; https://www.intechopen.com/books/advances-in-eye-surgery/trabeculotomy-augmented-by-postoperative-topical-medications-vs-trabeculectomy-augmented-by-mitomyci
15. Tamçelik N, Atalay E, Bölükbaşı S, et al. Konjenital Glokomlu Olgularda Viskotrabekülotomi ve Klasik Trabekülotomi Cerrahisinin Uzun Dönem Karşılaştırmalı Sonuçları. Türk Oftalmol Derg. 2013 Dec 5;43(6):380–4.
16. Morales J, Al Shahwan S, Al Odhayb S, et al. Current Surgical Options for the Management of Pediatric Glaucoma. Vol. 2013, Journal of Ophthalmology. 2013. p. e763735. https://www.hindawi.com/journals/joph/2013/763735/
17. Saheb H, Ahmed IIK. Micro-invasive glaucoma surgery: current perspectives and future directions. Curr Opin Ophthalmol. 2020 Apr 6;23(2):96–104.
18. Trubnik V. Managing Hypotony After Trabeculectomy. 2015. https://www.reviewofophthalmology.com/article/managing-hypotony-after-trabeculectomy

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