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    Combined Trabeculotomy/Deep Sclerectomy in Pediatric Glaucoma

    Childhood Glaucoma, Congenital Glaucoma, Pediatric Ophth/Strabismus, Surgical Management

    Dr. Ahmed Abdelrahman combines a deep sclerectomy with a trabeculotomy to promote both internal and external aqueous drainage. The deep sclerectomy aids in identification of the cut ends of the Schlemm canal, allowing for an easier trabeculotomy. A superior Fornix conjunctival incision is made to expose the surgical field, and then a crescent blade is used to dissect the scleral flaps. Once the corneal-scleral junction is identified, a deeper scleral flap is made. A Harms trabeculotome is used to perform the trabeculotomy.

    Financial Disclosures: Dr. Ahmed Abdelrahman discloses no financial relationships.