purpose : to assess the efficacy and safety of sutureless punch trabeculectomy as substitute for conventional scleral flap trabeculectomy. methods : in a prospective, randomized study, 44 eyes of 42 patients with primary open angle glaucoma (poag) who were candidate of trabeculectomy were included and randomly assigned into two groups sutureless punch trabeculectomy or conventional scleral flap...

PURPOSE To report the results of sutureless scleral fixation of a posterior chamber intraocular lens (IOL) by using our developed simple technique. METHODS We retrospectively reviewed the medical records of 48 eyes of 47 patients who underwent sutureless intrascleral IOL fixation by using our modified technique. A 25-gauge microvitreoretinal knife was used to perform sclerotomies and create l...

We describe a technique that uses a capsular hook to obtain sutureless fibrin glue-assisted transscleral fixation of the capsular bag. The hook passes through a sclerotomy created under a scleral flap and engages the capsulorhexis rim, providing scleral fixation intraoperatively and postoperatively. A standard capsular tension ring expands the capsular fornix. The haptic of the hook is tucked i...

Various techniques for scleral fixation of IOL in cases of poor capsular support have been described in past. Sutured scleral fixation of IOLs has been attempted for single piece and toric IOLs also. But this predisposes to various suture releated complications. Sutureless fixation of three piece IOLs with or without glue has gained popularity worldwide. However, odd power lenses and high astig...

Introduction: Manual small-incision cataract surgery with trabeculectomy is now an acceptable option in the surgical management of combined cataract and glaucoma uncontrolled with maximum tolerated medical therapy. Objective: To compare the results and complications of combined manual small-incision cataract surgery (SICS) and posterior chamber intraocular lens (PCIOL) implantation with trabecu...

Hypotony maculopathy is a sight-threatening complication after trabeculectomy. We report on a 34-year-old man with juvenile open-angle glaucoma and high myopia, who developed hypotony maculopathy 14 years after trabeculectomy without bleb leak. This represents the longest known period from trabeculectomy to the development of hypotony maculopathy without bleb leak. The possible mechanisms for t...

INTRODUCTION Manual small-incision cataract surgery with trabeculectomy is now an acceptable option in the surgical management of combined cataract and glaucoma uncontrolled with maximum tolerated medical therapy. OBJECTIVE To compare the results and complications of combined manual small-incision cataract surgery (SICS) and posterior chamber intraocular lens (PCIOL) implantation with trabecu...

We invented a new method for fixing an intraocular lens (IOL) in the scleral tunnel without using a wide conjunctival incision. Modified bent catheter needles were used to penetrate the IOL haptics through the sclerotomy sites. The IOL haptics were inserted into 30-guage (G) scleral tunnels guided by double 30-G needles piercing the sclera. All procedures were performed through the conjunctiva ...