Community Eye Health Journal (Sep 2006)

How I approach trabeculectomy surgery

  • Ian Murdoch

Journal volume & issue
Vol. 19, no. 59
pp. 42 – 43

Abstract

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The purpose of this article is to describe an approach to the most commonly performed surgical treatment for open-angle glaucoma, trabeculectomy. It is important to recognise that the concept of trabeculectomy surgery can be difficult for patients to comprehend in the first place. Their disease is frequently ‘thrust upon them’ by doctors; in other words, they are frequently asymptomatic in the eye that the ophthalmologist is most concerned about. The therapy, at best, can only hope to maintain vision. Vision may well deteriorate as a result of the therapy. These concepts are vital in the consideration of any surgical intervention. Preventive therapy is always more difficult to introduce. This also means the surgeon is all the more challenged to produce the safest possible result. A well-rested surgeon and a calm surgical environment is the start, along with a confident surgical technique.

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