Internal Approach for Primary Congenital Glaucoma: 5-0 versus 6-0 GATT - Which one works better? скачать в хорошем качестве

Internal Approach for Primary Congenital Glaucoma: 5-0 versus 6-0 GATT - Which one works better?

This surgery was recorded by RETUNA. In this video, we demonstrate a case of a 2-month-old infant with primary congenital glaucoma (Baseline IOP: 32 mmHg) undergoing Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). The focus is on comparing the use of 6-0 vs 5-0 Prolene sutures for canalization of Schlemm’s canal. 🔹 Key surgical highlights: -Microscope and head positioning for optimal angle visualization -Miostat (carbachol) and viscoelastic injection to prepare the angle -Blunting the suture tip without creating a bulb -Advancing 6-0 Prolene and the challenges of bending under resistance -Smooth circumferential passage of 5-0 Prolene confirming true canal patency -Critical safety notes specific to infants: leaving adequate viscoelastic in the anterior chamber and closing all paracenteses with 10-0 nylon -Final step: intracameral antibiotic injection -This step-by-step video emphasizes the nuances of GATT in primary congenital glaucoma, where trabecular dysgenesis alters angle anatomy and makes surgical landmarks more challenging. 👉 Don’t forget to like, comment, and subscribe for more surgical pearls and real-world case demonstrations. #Glaucoma #CongenitalGlaucoma #InfantGlaucoma #GATT #GonioscopyAssistedTransluminalTrabeculotomy #EyeSurgery #Ophthalmology #OphthalmicSurgery #Eyesurgeon #EyeHealth #VisionCare #PediatricOphthalmology #AnteriorSegment #SchlemmsCanal #Trabeculotomy #6Prolene #5Prolene #EyeDoctor #SurgeryEducation #MedicalEducation #EyeClinic #Optometry #VisualHealth #InfantSurgery #SurgicalTechnique #MicroscopeSurgery #EyeCareProfessionals #OphthalmologyResident #EyesurgeryVideo #TeachingSurgery