Histologic comparison of needle, holmium:YAG, and erbium:YAG endoscopic goniotomy

Karen Margaret Joos M.D.; Jin-Hui Shen; Brian K. Rivera; Eleut Hernandez; Debra J. Shetlar

doi:10.1117/12.209836

22 May 1995 Histologic comparison of needle, holmium:YAG, and erbium:YAG endoscopic goniotomy

Karen Margaret Joos M.D., Jin-Hui Shen, Brian K. Rivera, Eleut Hernandez, Debra J. Shetlar

Proceedings Volume 2393, Ophthalmic Technologies V; (1995) https://doi.org/10.1117/12.209836
Event: Photonics West '95, 1995, San Jose, CA, United States

Abstract

An endoscope allows visualization of the anterior chamber angle in porcine eyes despite the presence of cloudy corneas. The pectinate ligaments in the anterior chamber angle are a surgical model for primary infantile glaucoma. This study investigated the histologic results, one month after treating the anterior chamber angle with a goniotomy needle, the holmium:YAG laser, or the erbium:YAG laser coupled to a small endoscope. The anterior chambers were deepened with a viscoelastic material in one-month-old anesthetized pigs. An Olympus 0.8 mm diameter flexible endoscope was externally coupled to a 23 gauge needle or a 300 micron diameter fiber. The angle was treated for 120 degrees by one of the three methods, and the probe was removed. During the acute study, all three methods cut the pectinate ligaments. The histologic findings one month after healing demonstrated minimal surrounding tissue damage following goniotomy with a needle and the most surrounding tissue damage following treatment with the holmium:YAG laser.

Citation Download Citation

Karen Margaret Joos M.D., Jin-Hui Shen, Brian K. Rivera, Eleut Hernandez, and Debra J. Shetlar "Histologic comparison of needle, holmium:YAG, and erbium:YAG endoscopic goniotomy", Proc. SPIE 2393, Ophthalmic Technologies V, (22 May 1995); https://doi.org/10.1117/12.209836

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