DR. SANJRI MALHOTRA

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. VEDANT RAJORIYA

Abstract

BACKGROUND: TRABECULECTOMY ASSOCIATED COMPLICATIONS LIKE FLUCTUATING ANTERIOR CHAMBER DEPTH INTRAOPERATIVELY LEADS TO POSTOP HYPOTONY INCREASING RISK OF CHOROIDAL EFFUSION,HYPOTONY MACULOPATHY. TRABECULECTOMY WITH ACM BENEFITS ARE SAFETY FOR ENDOTHELIAL CELL DENSITY,CENTRAL CORNEAL THICKNESS,GREATER IOP REDUCTION IMPROVING SUCCESS OF SURGERY WITH FEWER POSTOPERATIVE COMPLICATION OF HYPOTONY, BLEB LEAKAGE,CHOROIDAL DETACHMENT. IT’S A BOON WHEN USED IN CASES OF HYPAHEMA, NEOVASCULARIZATION OF IRIS, REVISION TRABECULECTOMY, PSEUDOPHAKIC,APHAKIA GLAUCOMA.

METHOD: TRABECULECTOMY PERFORMED USING FORNIX BASED CONJUNCTIVAL FLAP,ACM,PUNCH TECHNIQUE AND SUTURED WITH 6-0VICRYL. DURATION EQUIVALENT TO CLASSICAL TRABECULECTOMY,POST-OP IOP REDUCTION REMARKABLE WITH FUNCTIONAL FILTERING BLEB.

CONCLUSION: UNLIKE CLASSICAL TRABECULECTOMY THERE IS NO AC FLUCTUATION, REDUCING COMPLICATIONS.FLUSHING OUT INFLAMMATORY MEDIATORS REDUCES CHANCES OF FIBROSIS,BLEB FAILURE.