Vol. 47 No. 2 Surgical Technique PDF

A Traction Suture Holding Device for Glaucoma Procedures

Christopher Cyrille N. Cabrera, MD, DPBO1,2
Nilo Vincent dG. FlorCruz II, MD, DPBO1,3

1DOH Eye Center, East Avenue Medical Center, Quezon City
2Jose B. Lingad Memorial Regional Hospital, Pampanga
3College of Medicine, University of the Philippines-Philippine General Hospital, Manila

Corresponding Christopher Cyrille N. Cabrera, MD
Clinic Address: DOH Eye Center, East Avenue Medical Center, East Avenue, Quezon City, Philippines
Contact Number: +639175607378
Email Address: cycabreramd@gmail.com

Disclosure: The authors have no financial disclosures to report.


Objective: We described an adjustable traction technique for glaucoma surgeries that provided adequate visualization of the surgical field.

Methods: A prototype device was designed to provide good exposure of the surgical site by using a peripheral lamellar trans-corneal suture capable of applying and sustaining tension. Adjustments to the amount of traction required were made through the device.

Results: The device was used in 9 cases of glaucoma surgeries: 5 trabeculectomies and 4 glaucoma drainage device implantations. No significant complications were observed.

Conclusions: The device was easy to use and allowed more flexibility for the surgeon.

Keywords: Glaucoma, traction suture, trabeculectomy, glaucoma drainage device