Global Ophthalmology and Glaucoma Conference

Sight threatening glaucoma needs meticulous management by medical or surgical modalities. Surgery remains the mainstay of treatment when medical treatment becomes inefficient. The surgery of choice remains the classical trabeculectomy. To have the best outcome of this surgical modality, we should learn the intricacy and modification according to desired outcome and risk factors. Written information should be provided to the patient. It has mainly two approaches-limbal based and fornix based. The basic principal of trabeculectomy is to handle the conjunctiva carefully and minimally. When aggressive filtration is needed, Mitomycin- C is used. Kelly’s punch has been found to be of utmost use. Modification in the form of adjustable /releasable sutures can also be used. Long-term follow up and management of failure are of paramount importance.