Trabeculectomy Surgery

A 52 year old woman presented with high intraocular pressure in right eye following prolonged use of steroid drops for red eye. There was damage to the optic nerve in the right eye but vision was preserved Despite 4 eye drops, the eye pressure could not be controlled and a diagnosis of steroid induced glaucoma (uncontrolled on maximal medical management) was made. A Trabeculectomy with Mitomycin C surgey was done and the eye pressures reduced to normal levels without the need for further anti-glaucoma eyedrops. The vision of the patient could be saved.

A superior Trabeculectomy Surgery was done. The elevated conjunctival bleb can be seen.

Slide 14 Before surgerySlide 14 After surgery

Bleb Revision in a thin avascular leaky bleb

A 62 year old lady presented with vision loss in an eye previously operated for glaucoma. A Trabeculectomy with Mitomycin C surgery had been done in the eye 5 years ago. On presentation there was very low eye pressures, a thin leaky, avascular bleb with corneal swelling. A diagnosis of bleb leak was made and a bleb revision surgery was performed.

Before Surgery: The cornea was swollen, eye pressure was low and the bleb was very thin and leaky. After surgery: The corneal swelling disappeared, bleb was no longer thin and leaky and eye pressures improved.

Dr. Digvijay Singh treats a patient with advanced glaucoma and a painful blind eye

Glaucoma can lead to blindness if not treated early. Unfortunately vision lost due to glaucoma cannot be recovered. Uncontrolled glaucoma can also cause eye pain which is as bothersome as vision loss. Certain procedures such as DLCP and cyclocryopexy can help reduce intraocular pressure in such cases and provide significant relief.