Glaucoma Surgery-Trabeculectomy
Objective
In cases of raised intraocular pressure (glaucoma), to bring down the pressure by creating a Channel to take more fluid (aqueous tumor) out of the eye.
Position
Supine.
Anesthesia
General or local (Peribulbar block or retrobulbar block + facial block).
Procedure
1. Lid speculum.
2. Superior rectus bridle suture.
3. Conjunctival flap: cautery of blood vessels.
4. Dissection of partial thickness scleral flap.
5. Sclerostomy (block of tissue cut out to create a fistula for fluid drainage).
6. Peripheral iridectomy.
7. Anterior chamber reformation.
8. Scleral flap sutured.
9. Conjunctival closure.
Instruments
• Anterior segment set.
• Cataract set 1.
Anyqestions be sent to drmmkapur@gmail.com
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