Microinvasive Glaucoma Surgery – Normal Aqueous Veins and Focal Blood Reflux by Ike Ahmed

This surgical video shows assessment of aqueous veins and distal outflow system of normal aqueous outflow in the human eye, and correlating focal blood reflex in Schlemm’s canal as seen gonioscopically. By identifying where an aqueous vein inserts into the canal, one can target placement of micro-stents within Schlemm’s canal to bypass the diseased inner wall and direct aqueous to these veins to reduce intraocular pressure and treat glaucoma. Strategic placement of micro-stents may be an important factor in succes, and thus observation of specific anatomy is important.