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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. Dayanand Medical College and Hospital, Ludhiana, Punjab, e-mail: utaaldrdaljit@rediffmail.com, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India, G B Pant Institute of Postgraduate Medical Education and Research, New Delhi, India, GB Pant Hospital, Maulana Azad Medical College, New Delhi, India, Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab, India, Govind Ballabh Pant Institute of Postgraduate, Medical Education and Research, Govind Ballabh Pant Hospital, New Delhi, India, Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar-143001, India, Maulana Azad Medical College and Associated GB Pant Hospital, New Delhi, India, Dr Daljit Singh Eye Hospital, Radhaswami Road, Amritsar, India, Air Force Hospital, Kanpur, Uttar Pradesh, India, Dayanand Medical College and Hospital, Ludhiana, Punjab, India; Royal College of Paediatrics and Child Health (RCPCH), London, UK, Command Hospital (SC), Pune, Maharashtra, India, Dr Daljit Singh Eye Hospita
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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