Ab Interno Trabeculectomy With a Dual Blade: Surgical Technique for Childhood Glaucoma

J Glaucoma. 2017 Aug;26(8):749-751. doi: 10.1097/IJG.0000000000000701.

Abstract

Purpose: To introduce a technique using the Kahook Dual Blade for treatment of childhood glaucoma.

Patient and method: An infant developed glaucoma after cataract extraction and anterior vitrectomy. Ab interno trabeculectomy was performed in both eyes using a dual-blade device.

Results: Description of technique to treat childhood glaucoma. Intraocular pressure reduced from 35 to 17 mm Hg in the right eye and from 52 to 18 mm Hg in the left eye after 7 to 10 weeks. There were no complications.

Conclusions: This was a successful, minimally invasive procedure for treatment of childhood glaucoma.

Publication types

  • Case Reports

MeSH terms

  • Cataract Extraction / adverse effects
  • Follow-Up Studies
  • Glaucoma, Open-Angle / etiology
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Infant
  • Intraocular Pressure / physiology
  • Male
  • Tonometry, Ocular
  • Trabeculectomy / instrumentation
  • Trabeculectomy / methods*
  • Vitrectomy / adverse effects