Advanced Glaucoma: Trabeculectomy With Minimal Intraoperative Manipulation Prevents Vision Loss

Shishir Agrawal, MS, DNB, FRCS announced that performing trabeculectomy with careful postoperative care and as minimal intraoperative manipulation as possible can assist in vision loss prevention in advanced glaucoma cases.

He and other doctors conducted a prospective study of 200 eyes with 5° or less of remaining visual fields due to advanced glaucomatous damage. He presented the findings at the European Society of Cataract and Refractive Surgeons meeting. All patients had a standard trabeculectomy performed without an antifibrotic agent. Follow-up was 1 month to 1 year. There was cataract progression in eight cases and uveitis in five, Dr. Agrawal said.

According to him, filtration surgery is strongly recommended in end-stage glaucoma. "We feel that it should be made a standard practice to operate such cases, so that the last bit of the important vision remains intact."

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