난치성 개방우각녹내장에서 시행한 Trabectome#174;을 이용한 섬유주절개술 1예

Ab Interno Trabeculotomy with Trabectome#174; for Refractory Primary Open-Angle Glaucoma: A Case Report

Purpose: To report a case of ab interno trabeculotomy with Trabectome<sup>&#9415; (NeoMedix Corp., CA, USA) conducted on a refractory primary open angle glaucoma (POAG) patient. Case summary: Trabectome<sup>&#9415; has microelectrocautery with simultaneous infusion and aspiration of debris and ablates a segment of trabecular meshwork and the inner wall of Schlemm’s canal. The patient, a 54-year-old man had uncontrolled intraocular pressure (IOP) with topical anti-glaucoma medications after trabeculectomy and Ahmed valve implantation for POAG. For the patient, ab interno trabeculotomy with Trabectome<sup>&#9415; was performed. There were no other postoperative complications except for microhyphema immediately after surgery. The IOP was controlled between 14 to 24 mm Hg up to 3 months postoperatively with topical anti-glaucoma medications (Cosopt<sup>&#9415;, Alphagan-P<sup>&#9415;, Lumigan<sup>&#9415;). Conclusions: Ab interno trabeculotomy with Trabectome<sup>&#9415; appears to offer a newer method of lowering IOP in POAG than conventional trabeculectomy and glaucoma drainage device surgery. J Korean Ophthalmol Soc 2011;52(4):502-506