A Traction Suture Holding Device for Glaucoma Procedures

Christopher Cyrille N. Cabrera, MD, DPBO; Nilo Vincent dG. FlorCruz II, MD, DPBO

Authors

Christopher Cyrille N. Cabrera, MD, DPBO DOH Eye Center, East Avenue Medical Center, Quezon City; Jose B. Lingad Memorial Regional Hospital, Pampanga Author
Nilo Vincent dG. FlorCruz II, MD, DPBO DOH Eye Center, East Avenue Medical Center, Quezon City; College of Medicine, University of the Philippines-Philippine General Hospital, Manila Author

Keywords:

Glaucoma, traction suture, trabeculectomy, glaucoma drainage device

Abstract

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.