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Chapter-41 Transconjunctival Transciliary Filtration

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Singh Daljit
ISBN
9788184489583
DOI
10.5005/jp/books/11383_41
Edition
1/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar, India, Amritsar, India, Command Hospital, Bangalore, India, GB Pant Hospital, New Delhi, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, India, Dayanand Medical College, Ludhiana, Punjab, India, 57, Joshi Colony, Amritsar, India 143 001, 57, Joshi Colony, Amritsar, India, Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar, Punjab, India, Dayanand Medical College and Hospital, Ludhiana, India, Command Hospital, Pune, Maharashtra, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, e-mail: utaaldrdaljit@rediffmail.com, Command Hospital (SC), Pune, Maharashtra, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, India; Royal College of Paediatrics and Child Health (RCPCH), London, UK, Air Force Hospital, Kanpur, Uttar Pradesh, India, Dr Daljit Singh Eye Hospital, Radhaswami Road, Amritsar, India, Maulana Azad Medical College and Associated GB Pant Hospital, New Delhi, India, Dr Daljit Singh Eye Hospital, 57, J
Chapter keywords
transconjunctival transciliary filtration, drainage channel, ocular tissues, miotics, mitomycin, conjunctiva

Abstract

This chapter discusses transconjunctival transciliary filtration. Fugo blade permits one to do transconjunctival transciliary filtration without any dissection. The main purpose of making a drainage channel is achieved with minimum trauma to the ocular tissues. The patient becomes ambulatory as soon as the effect of the local anesthetic wears off. A failure can be overcome with miotics or pressure bandage in the early stages. Later on after studying the channel with UBM, a reoperation in the original site or in an adjoining site can be done. Mitomycin can be placed under the conjunctiva in high risk cases.

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