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Goniotomy and trabeculotomy are similar simple and directed techniques of microsurgical dissection with mechanical disruption of the trabecular meshwork . Gonotomy procedures include surgical goniotomy and laser goniotomy. A surgical goniotomy involves cutting the fibers of the trabecular meshwork to allow aqueous fluid to flow more freely from the eye.Laser goniotomy is also known as goniophotoablation and laser trabecular ablation .
In many patients suffering from congenital glaucoma, the cornea is not clear enough to visualize the anterior chamber angle. Although an endoscopic goniotomy, which employs an endoscope to view the anterior chamber angle, may be performed , a trabeculotomy which accesses the angle from the exterior surface of the eye, thereby eliminating the need for a clear cornea, is usually preferred in these instances. A specially designed probe is used to tear through the trabecular meshwork to open it and allow fluid flow
As a result of my inquiry I had secured records of a large num308 Reason and Authority ber of- cases which had recovered, not only without the knife, but without any treatment at all I also had records of cases which I had sent to Dr. tion is gained in this way, as indicated by the ability to see a perfect black, it is completely retained when the eyes are opened, and what is retained is not held permanently. ILLUSIONS OF FORM Round letters may appear square or triangular; straight letters may appear curved; letters of regular form may appear very irregular; a round letter may appear to have a checkerboard or a cross in the center. Bates is more popular.
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