2019 / 06

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DOI: 10.24075/brsmu.2019.081

METHOD

Reverse meridional cyclodialysis ab interno in management of open angle glaucoma — a preliminary report

Kumar V1,2,3, Frolov MA1, Dushina GN1,3, Shradqa AS1,3, Bezzabotnov AI2,3, Abu Zaalan KA1
About authors

1 Peoples’ Friendship University of Russia, Moscow, Russia

2 Skhodnya City Hospital, Khimki, Moscow Region, Russia

3 Centre for eye microsurgery “Pro zrenie”, Khimki, Moscow Region, Russia

Correspondence should be addressed: Vinod Kumar
Miklukho-Maklaya, 6, Moscow, 117198; moc.liamg@5591donivramuk

About paper

Author contribution: Kumar V — conception, design, data collection, analysis and interpretation, writing and editing, overall responsibility; Frolov MA — overall responsibility; Dushina GN — data collection and editing; Shradqa AS — conception, design and data collection; Bezzabotnov AI — conception, design and editing; Abu Zaalan KA — data collection.

Received: 2019-11-27 Accepted: 2019-12-11 Published online: 2019-12-16
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Fig. 1. Side view of the custom-designed spatula for reverse meridional cyclodialysis ab interno: distal end of the working portion of the spatula is 6.0–6.5 mm long and 2.0 mm wide; further, it is curved and repeats globe curvature
Fig. 2. Kaplan–Meier survival curve of eyes after RMCai
Fig. 3. Cyclodialysis cleft (red arrow) at different follow-up visits (different patients): 1 week (A); 1 month (B); 2 years (C); there are no signs of fibrosis or inflammation
Table 1. Patient demographics
Note: M — male; F — female; RE — right eye; LE — left eye; MTF — Singh's microtrack filtration operation; SDSC — segmental dilation of Schlemm's canal (implantation of Kumar's stainless-steel spiral expander in lumen of Schlemm's canal); Phaco — phacoemulsification; IOL — intraocular lens.
Table 2. Efficacy data
Note: N — number; IOP — intraocular pressure; CI — confidence interval.
Table 3. Success rate