DR. APEKSHA KATARIA

, Dr. SHREYA SHAH, Dr. MEHUL SHAH, DR. SAKSHI MAKHLOGA

Abstract

Background: Trabeculectomy is commonly done filtration surgery in glaucoma patients. It is associated with complications like fluctuating anterior chamber depth(ACD) intraoperatively leading to postoperative hypotony increasing risk of choroidal effusion and hypotony maculopathy.

Method: Presenting a video of trabeculectomy using an anterior chamber maintainer(ACM). Trabeculectomy was performed using a fornix based conjunctival flap, an ACM, a standardised punch technique and is sutured using 6-0 vicryl. Duration of surgery was equivalent to classical trabeculectomy and post-op IOP reduction was remarkable.

Conclusion: Unlike classical trabeculectomy there is no AC fluctuation, reducing risk of hypotony and corneal endothelial cell loss. Flushing out of inflammatory mediators reduces chances of fibrosis and thus bleb failure.