Combined Trabeculotomy/Deep Sclerectomy in Pediatric Glaucoma

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.