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Chapter-40 Milling Trabeculoplasty: A New Technique for Non-penetrating Glaucoma Surgery

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Alio Jorge L
2. Galal Ahmed
3. Rodriguez-Prats Jose L
ISBN
9788184489583
DOI
10.5005/jp/books/11383_40
Edition
1/e
Publishing Year
2010
Pages
10
Author Affiliations
1. Instituto Oftalmologico de Alicante, IOIS General Secretary, AVDA–DE, Denia, Alicante, Spain, Department of Ophthalmology, Universidad Miguel Hernandez, Spain, VISSUM Instituto Oftalmológico, Alicante, Spain; Universidad Miguel Hernández, Alicante, Spain, Vissum, Institute of Ophthalmology Alicante, Alicante, Spain, Vissum Corporación Oftalmológica, Alicante, Spain, Universidad Miguel Hernández, Alicante, Spain, VISSUM, Instituto Oftalmológico de Alicante, Avda de Denia S/n 03016, Alicante, Spain, Instituto Oftalmologico De Alicante, Avda Denia 111, 03016, Edificio Vissum, Alicante, Spain, Miguel Hernandez University, Medical School; Vissum Corporation, Alicante, Spain, Avda de Denia s/n, Edificio Vissum, Alicante, Spain
2. Avd Pinotr Xavier soler 1, Esc D 7oV, 03015, Alicante, Spain, Vissum/Instituto Oftalmologico, De Alicante, Alicante, Spain, Vissum/Instituto, Oftalmologico De Alicante, Alicante, Spain, Research Institute of Ophthalmology, Cairo, Egypt, Vissum - Instituto Oftalmológico Alicante, Miguel Hernández University, Medical School, Alicante, Spain, Instituto Oftalmologico De Alicante, Avda Denia 111,03015, Alicante, Spain
3. Instituto Oftalmologico De Alicante, Alicante, Spain, Instituto Oftalmologico De Alicante, Avda. Denia 111,03015, Alicante, Spain
Chapter keywords
trabeculectomy, glaucoma, hypotony, milling trabeculoplasty, deep sclerectomy, non-penetrating glaucoma surgery, deep scleral flap

Abstract

Trabeculectomy has been the choice of operation for glaucoma since its introduction in 1961 and as a full thickness operation it had its complications. Guarded filtration procedures are developed to reduce these risks such as hypotony, and infections. Milling trabeculoplasty is considered a variation of deep sclerectomy with more refining. The technique of milling trabeculoplasty provides the opportunity to perform a non-penetrating glaucoma surgery with greater attention for the dissection of the deep scleral flap or the deroofing of the Schlemm’s canal with the addition advantage that is being much faster. The milling surgery seems to be a promising technique for surgical management of POAG glaucoma. It is a potential alternative to deep sclerectomy, mainly the low level of IOP together with minimal intra and post-operative complications.

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