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

See all The glaucoma surgery armamentarium - what's in our 2019 bag of tricks videos