Our Address Contact Us A A

Glaucoma treatment with Trabectome, using these surgical steps

	Step 1: Scleral Incision Create a 1.7 mm clear corneal incision with Keratome.
	Step 2: Visco-elastic Inject a small amount of viscoelastic at incision site for easy entry of tip into anterior chamber.
	Step 3: Goniolens Placement • Place Goniolens on cornea and verify angle view. • Remove Goniolens and insert tip past the irrigation ports. • Replace Goniolens and activate continuous irrigation. • Advance tip across anterior chamber under direct view.
	Step 4: Ablation • Insert tip into Schlemm’s canal anterior to the scleral spur in either a clockwise or counter-clockwise direction. • Depress the foot pedal to activate aspiration and ablation, while advancing the instrument within Schlemm’s canal. • Ablate the trabecular meshwork for approximately one-to-two clock hours (30°-60°).
	Step 5: Rotate Tip Dis-insert tip from Schlemm’s canal and rotate instrument tip toward iris.
	Step 6: Ablation Re-insert tip in the opposite direction from the initial ablation and remove a similar arc in opposite direction.
	Step 7: Irrigate and Aspirate Irrigate and aspirate viscoelastic from anterior segment.
	Step 8: Suture Place one suture across incision. Re-pressurize the globe.