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SURGICAL TECHNIQUE SURGEON’S CORNER Sangita P. Patel, MD, PhD; Arthur J. Sit, SM, MD odels for practicing ophthalmic surgery are a necessary part of all ophthalmic train- ing. Herein, we describe a method for preparing human donor cadaveric eyes with direct visualization of the anterior chamber angle for practicing trabecular mesh- M work surgery. This model can be adapted for use with both fresh and formalin-fixed eyes. The use of formalin-fixed eyes decreases the risk of infection transmission inherent with human cadaveric eyes, allows prepared eyes to be stored indefinitely, and can be reused until all of the tra- becular meshwork has been exhausted in surgery. We describe the application of this model for the technique of ab interno trabeculectomy using the Trabectome system for treating open-angle glaucoma. Arch Ophthalmol. 2009;127(3):311-313 Models for practicing ophthalmic sur- work, giving direct access for aqueous flow 2-4 gery are invaluable to surgeons. This ap- into the Schlemm canal. Its promising plies to both the surgeon in training as well early results and its minimal risk profile as the expert surgeon fine-tuning new tech- compared with filtering surgery suggest a niques. Glaucoma surgeries involving vi- possible increasing role for this technique sualization of
JAMA Ophthalmology – American Medical Association
Published: Mar 1, 2009
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