The gold standard: trabeculectomy

Trabeculectomy is a high yield , high risk and high maintenance surgery and there is an unmet need to improve efficacy and safety outcomes. The following modifications can help to achieve this :
-Use of pre-operative steroids to reduce conjunctival inflammation
– Avoiding superior rectus traction suture
– Using Anterior chamber maintainer
– Not exceeding 0.2mg/ml of MMC for 3 minutes
– Creating an intrascleral lake with limited deep sclrectomy
– Using releasable sutures
– Surgical repair of bleb leaks

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