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Article
February 1995

The Use of a New Laser Lens Holder for Performing Suture Lysis in Children

Author Affiliations

Atlanta, Ga; Mountain View, Calif

Arch Ophthalmol. 1995;113(2):140-141. doi:10.1001/archopht.1995.01100020018013
Abstract

Although the use of mitomycin C has been shown to improve the success rate of trabeculectomy in adults,1 postoperative hypotony can develop in up to 32% of the patients.2 To avoid this complication, extra sutures are used to secure the scleral flap, and laser suture lysis is performed in the early postoperative period. The use of mitomycin C may be effective in improving the success rate of filtering surgery in children. However, suture lysis is difficult or impossible to perform in many of these young patients, and the scleral flap is generally closed with a minimum number of sutures. We have developed a holder for a suture lysis lens that is used with a portable diode laser (Iris Medical OcuLight, Iris Medical Instruments, Mountain View, Calif). The size of the laser focal point is 75 μm in diameter, and the position can be varied with a manual focus

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