Hybrid MIGS Technique: Dual Blade Goniotomy and Direct Viscodilation of the Collector Channels with Cataract Surgery: 18 Months Results | ASCRS
Presentation
Hybrid MIGS Technique: Dual Blade Goniotomy and Direct Viscodilation of the Collector Channels with Cataract Surgery: 18 Months Results
May 2020
Meeting: 2020 Virtual Annual Meeting
Session: SPS-105 Minimally Invasive Glaucoma Surgery: Viscocanalostomy, Combined Procedures, Outcomes
Authors: Linda L. Burk, MD, Jane Gilmore MD, MS
You do not have access to this library

This content is accessible only to 2020 ASCRS Virtual Annual Meeting attendees. If you attended the virtual meeting, please log in with the account associated with your virtual meeting registration.  To log in, click the teal "Login" button in the upper right-hand corner of this page.

Purpose
Hybrid MIGS Technique: Dual Blade Goniotomy and Direct Viscodilation of the Collector Channels with Cataract Surgery: 18 Months Results

Methods
After cataract surgery, the Dual Blade removed 180° of trabecular meshwork. Viscoelastic was injected into the exposed ostium of the Collector Channels as the perpendicular viscoelastic cannula was held firmly against the outer wall and dragged through the gutted canal. Moderate to severe glaucoma comprised 50% of the 120 eyes at 1 year. 33% had previous glaucoma surgery. 80% were African American. 50% were diabetics. 50% were on an anticoagulant.

Conclusion
The synergy of Goniotomy and Viscodilation markedly reduces drops even in advanced glaucoma with 46% of eyes achieving an IOP ≤15mm Hg, thus improving compliance and reducing the associated financial burden. The Goniotomy-Viscodilation-Cataract technique addresses both trabecular outflow resistance and salvages the collapsed collector channels.
View More Presentations from this Session

This presentation is from the session "SPS-105 Minimally Invasive Glaucoma Surgery: Viscocanalostomy, Combined Procedures, Outcomes" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.

We use cookies to measure site performance and improve your experience. By continuing to use this site, you agree to our Privacy Policy and Legal Notice.