DR. PANDAV SURINDER SINGH (P08909)
Abstract
BETWEEN 30% TO 50% OF TRABECULECTOMIES (TRAB) FAIL IN ABOUT 3 YEARS. ONCE A TRAB FAILS, FURTHER OPTIONS TO CONTROL INTRAOCULAR PRESURE (IOP) SHRINK RAPIDLY. GLAUCOMA DRAINAGE DEVICES HAVE THEIR OWN SET OF COMPLICATIONS WITH A HIGH FAILURE RATE AT ABOUT 30%. TRAB STILL REMAINS THE MOST EFFECTIVE PROCEDURE FOR LOWERING IOP THEREFORE, FAILURE OF A TRAB SHOULD NOT BE THE END POINT IN ITS COURSE AS TRAB BLEBS CAN BE REVIVED IN THE EARLY AS WELL AS IN THE LATE POSTOPERATIVE PERIOD. HOWEVER, TO ACHIEVE THIS A THOROUGH UNDERSTANDING OF THE PROCEDURE, THE WOUND HEALING PROCESS AND FACTORS ASSOCIATED WITH FAILURE AND HOW TO CONTROL THEM IS IMPORTANT. A NUMBER OF PROCEDURES SUCH AS BLEB MANIPULATION, REMOVING SURUTES, ADJUSTING POSTOPERATIVE MEDICINES INCLUDING USE OF ANTI FIBROSIS AGENTS, BLEB NEEDLING AND REVISION OF FAILED BLEBS HAVE BEEN DESCRIBED FOR FAILING OR FAILED BLEBS. IN THIS COURSE WE WILL DISCUSS HOW TO CHOOSE THE BEST OPTION AND HOW TO APPLY IT, WITH THE SCIENTIFIC BASIS EXPLAINED.
| 1 | INTRODUCTION OF THE COURSE (3 mins) | DR. PANDAV SURINDER SINGH | |
| 2 | PATHO-PHYSIOLOGY OF TRABECULECTOMY FAILURE. (12 mins) | DR. PANDAV SURINDER SINGH | |
| 2 | NEEDLING FOR FAILED BLEB (10 mins) | Dr. FAISAL T. T. | watch video |
| 3 | AB-INTERNO REVISION OF FAILED TRABECULECTOMY BLEBS. (10 mins) | Dr. SUSHMITA KAUSHIK | watch video |
| 4 | LIMITED EXTERNAL REVISION OF A FAILED TRABECULECTOMY BLEB. (10 mins) | DR. PANDAV SURINDER SINGH | watch video |
| 5 | KEYNOTE ADDRESS BY DR RAJESH SASIKUMAR : A DIFFERENT ANGLE TO MANAGING ACUTE ANGLE CLOSURE: TREATMENT MODALITIES – (10 MINS) | PROF.RAJESH S KUMAR | watch video |
| Panel Discussion : (20 mins.) |


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