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Operation method of trabeculotomy combined with sinusotomy and sinusotomy with mitomycin C added to scraping the inner wall of Schlemm's canal



Operation method of trabeculotomy combined with sinusotomy and sinusotomy with mitomycin C added to scraping the inner wall of Schlemm's canal



Rinsho Ganka 51(5): 915-918



Scraping the inner wall of Schlemm's canal is added to the operation of trabeculotomy combined with sinusotomy (LOT + SIN) and sinusotomy with Mitomycin C (SIN + MMC). Scraping is executed gently using the needle of 25 gaige by the microscope under high magnification. Because of a possibility of the trabeculotomy damaging the inner wall, the LOT +SIN carried this technique into effect after trabeculotomy is done. In the SIN+MMC, scraping is carried out after incision and resection the outer wall of Schlemm's canal. In both operations, this procedure is performed before punched out a screlar flap. We consider that this technique may be effective in an approach of better glaucoma surgery. However, it is necessary to exposed enough the Schlemm's canal, carried out safety trabeculotomy and reliable scraping the inner wall.

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Accession: 009132301

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