What is the role of Trabectome (NeoMedix) in the surgical treatment of primary open-angle glaucoma (POAG)?

Updated: Mar 16, 2020
  • Author: Kristin Schmid Biggerstaff, MD; Chief Editor: Inci Irak Dersu, MD, MPH  more...
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Answer

Trabectome® (NeoMedix) (see below)

See the list below:

  • FDA approved
  • Ablates all of the trabecular meshwork for 90 degrees to 180 degrees via electrocautery and aspiration of the internal wall of the Schlemm canal
  • Similar idea to goniotomy but prevents rescarring of the Schlemm canal edges, as all tissue is removed
  • May have a place between trabeculoplasty and anterior filtering operations
  • Safer than trabeculectomy or tube shunt but may be less effective
  • Needs more long-term data on complication rate and persistence of effect

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