Dr.Jyoti Shakrawal, Dr.Dada Tanuj,Dr.Talvir sidhu, Dr.Ramanjit Sihota
Combined trabeculotomy – trabeculectomy with mitomycin C even though considered a standard procedure and recommended as a primary surgery in congenital glaucoma, the complications associated with bleb formation and use of mitomycin – C have led to increased attention towards more safer and effective procedures like Illuminated microcatheter circumferential trabeculotomy. It greatly overcomes the problems of false passages during catheterization of the Schlemm’s canal. This procedure involves the use of an illuminated microcatheter to catheterize the whole circumference of Schlemm’s canal and 360 degree trabeculotomy is performed. This flexible microcatheter has a LED source at its atraumatic tip that allows visualization of the catheter through the limbus trans-sclerally to verify proper placement. IMCT treats the entire angle and has success potential of 360D trabeculotomy with an added advantage of trans-scleral visualization. Hence it can be used as primary procedure in PCG.