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Past IssueVolume 5, Number 1, 2003
Modified Trabeculectomy: Follow-Up Study

DD Pandit, SB Unercat, S Navelkar
Department of Ophthalmology, Mumbai Port Trust Hospital, Mumbai, India

Objective: To describe a modified trabeculectomy in which a small perpendicular strip of sclera is removed in addition to ablation of the trabecular meshwork.
Patients and Methods: Modified trabeculectomy was performed in 50 eyes. Follow-up was 5 years.
Results: Intraocular pressure was controlled below 20 mm Hg for 90% of eyes. Vision was maintained for all eyes. The bleb formed was diffuse in 45 eyes (90%).
Conclusion: The major advantage of this modified procedure is that the intraocular pressure remains controlled as the scleral canal continuously drains aqueous. Tenonectomy reduces postoperative fibrosis, thereby reducing bleb failure.

Key Words: Anterior chamber, Modified trabeculectomy, Scleral canal
Asian J Ophthalmol
2003;5(1):3-7.
 
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