Trabeculectomy layer-by-layer

Article

Non-penetrating layer-by-layer trabeculectomy in ostias of Schlemm's canal produces a pronounced and sustained effect and can be applied successfully in patients with therapy resistant open angle glaucoma, according to Dr Dashevskiy from the Munich University of Technology, Germany.

Non-penetrating layer-by-layer trabeculectomy in ostias of Schlemm's canal produces a pronounced and sustained effect and can be applied successfully in patients with therapy resistant open angle glaucoma, according to Dr Dashevskiy from the Munich University of Technology, Germany.

The surgery was performed on 14 eyes of 10 patients (mean IOP 28.4±3.8 mmHg, mean age 70.3±5.4 years). Postoperative IOP, at one-year follow-up, was recorded at 13.1±2.3 mmHg. In each subject the hypotensive effect was absolute (without medications), whilst in five patients (36%), hyphaema appeared during surgery but dissolved in all cases between two and three days postoperatively.

Dr Dashevskiy believes that this novel surgical approach could represent a successful way of treating patients with therapy resistant glaucoma.

Recent Videos
(Image credit: Ophthalmology Times Europe) AGS 2025: Clemens Strohmaier, PhD, on improving aqueous humour outflow following excimer laser trabeculostomy
3 experts are featured in this series.
Anat Loewenstein, MD, speaks about the 22nd Annual Angiogenesis, Exudation, and Degeneration Meeting in February 2025 and shares her global forecast for AI-driven home OCT
3 experts are featured in this series.
3 experts are featured in this series.
Sarah M. Thomasy, DVM, PhD, DACVO, a veterinary ophthalmologist at UC Davis, talks about how her research at the Glaucoma 360 symposium
I. Paul Singh, MD, an anterior segment and glaucoma specialist, discusses the Glaucoma 360 conference, where he participated in a panel discussion on the use of artificial intelligence (AI) in glaucoma care.
Sunita Radhakrishnan, MD, an associate at the Glaucoma Center of San Francisco, speaks at the annual Glaucoma 360 meeting about electrical neurostimulation.
3 experts are featured in this series.
3 experts are featured in this series.
© 2025 MJH Life Sciences

All rights reserved.