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Penetrating filtering surgeries are further subdivided into guarded filtering procedures, also known as protected, subscleral, or partial thickness filtering procedures (in which the surgeon sutures a scleral flap over the sclerostomy site ), and full thickness procedures . Trabeculectomy is a guarded filtering procedure that removes of part of the trabecular meshwork.
Full thickness procedures include sclerectomy, posterior lip sclerectomy (in which the surgeon completely excises the sclera on the area of the sclerostomy ), trephination, thermal sclerostomy (Scheie procedure), iridenclesis, and sclerostomy (including conventional sclerostomy and enzymatic sclerostomy)
Because of the cloudiness of the lens, he had now become unable to see well enough to do his work, even with glasses; and the other physicians whom he had consulted had given him no hope of relief except by operation when the cataract was ripe. All these attempts have aimed at lessening the strain of near work upon the eye, leaving the strain to see distant objects unaffected, and totally ignoring 4 the mental strain which underlies the imperfect functioning of the eye at both points; and it has: been demonstrated in thousands of cases that all abnormal action.
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