Targeted iStent x3 and Aqueous Vein by Ike Ahmed

This surgical video shows assessment of aqueous veins and distal outflow system of normal aqueous outflow in the human eye, and the strategic targeted placement of iStent trabecular micro-bypass devices. 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 success, and thus observation of specific anatomy is important.