HIGH FREQUENCY DEEP SCLEROTOMY (HFDS)
In operative treatment of glaucoma, the Faros has created significant added value in micro-invasive glaucoma surgery (MIGS). High Frequency Deep Sclerotomy (HFDS) ensures excellent long-term results and has an extremely low complication rate, and short intervention time.
HFDS
HFDS stands for High Frequency Deep Sclerotomy. In micro-invasive glaucoma surgery (MIGS), HFDS creates direct access from the anterior chamber to the Schlemm’s canal and further into the sclera. The resistance of the trabecular meshwork is thus bypassed. The abee glaucoma tip is inserted through 1.2 mm paracentesis and, by means of diathermy output, it creates six small sclerotomy pockets in the iridocorneal angle, ensuring improved outflow of aqueous fluid.
HFDS can be used individually and can also be ideally combined with cataract surgery. HFDS is characterised by a very short intervention time. Bleb formation is prevented, and so is fibroblast movement to the sclerotomy. Moreover, there are no corneal scars. Oertli’s High Frequency Deep Sclerotomy boasts excellent long-term results. If required, a further HFDS intervention can be made to optimise results.
Vorteile von HFDS
- Ideal in combination with cataract surgery or as individual application
- Very short intervention time
- Excellent long-term results
- No bleb-formation, no corneal scars
- Surgery can be repeated
- Very low complication rate
How does the HFDS procedure work?
See HFDS in application now
REDUCTION OF THE IOP
Clinical studies confirm a long-term significant reduction in the IOP with a considerable reduction in the number of antiglaucoma medication (AGM) [1]. Together with the low complication rates, HFDS is a safe and efficient glaucoma procedure [1, 2, 3].
[1] B. Pajic, B. Pajic-Eggspuehler, and I. Haefliger, “New minimally invasive, deep sclerotomy ab-interno surgical procedure for glaucoma, six years of follow-up,” Journal of glaucoma, vol. 20, no. 2, pp. 109–114, 2011, doi: 10.1097/IJG.0b013e3181dddf31.
[2] B. Pajic, Z. Cvejic, K. Mansouri, M. Resan, and R. Allemann, “High-Frequency Deep Sclerotomy, A Minimal Invasive Ab-interno Glaucoma Procedure Combined with Cataract Surgery: Physical Properties and Clinical Outcome,” Applied Sciences, vol. 10, no. 1, p. 218, 2020, doi: 10.3390/app10010218.
[3] Kaweh Mansouri, M.D., M.P.H., A Multicenter Prospective Study of High-Frequency Deep Sclerotomy (HFDS) in Open-Angle Glaucoma: 3-Year Outcomes: Manuskript; UNPUBLISHED DATA.
You wanna know more?
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High-Frequency Deep Sclerotomy, A Minimal Invasive Ab Interno Glaucoma Procedure Combined with Cataract Surgery: Physical Properties and Clinical Outcome, Eye Clinic Orasis, 2019
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The Efficacy and Safety of High-Frequency Deep Sclerotomy in Treatment of Chronic Open-Angle Glaucoma Patients, Research Institute of Ophthalmology Cairo, Cairo University Faculty of Medicine, 2019
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Ab-Interno Deep Sclerotomy in Eight Simple Steps, Cataract & Refractive Surgery Today Europe, 2017
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HFDS Glaucom Procedure, Dr. Bojan Pajic, European Opthalmic Review, 2012
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New Minimally Invasive, Deep Sclerotomy ab interno Surgical Procedure for Glaucoma, Six Years of Follow-up, Dr. Bojan Pajic, Journal of Glaucoma, 2011
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The Future Way of Phaco & MIGS Surgeries - Highlights from ESCRS Satellite Symposium, The Ophthalmologist, 2015
HFDS in glaucoma surgery
Learn more about about the instruments for glaucoma surgery.
Cataract surgery
Thanks to Oertli innovations such as easyPhaco and HF capsulotomy, cataract surgery can be performed more quickly, safely and calmly than ever before.
Vitreoretinal surgery
In vitrectomy surgery, the Faros brings about superb results thanks to the well-thought-out fluidics concept and innovative instruments.