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Chapter-42 Glaucoma Surgery with Fugo Plasma Blade

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Singh Daljit
2. Singh Kiranjit
ISBN
9788184489583
DOI
10.5005/jp/books/11383_42
Edition
1/e
Publishing Year
2010
Pages
10
Author Affiliations
1. Amritsar, India, 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, Dayanand Medical College and Hospital, Ludhiana, Punjab, e-mail: utaaldrdaljit@rediffmail.com, Command Ho
2. Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar, India, Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar, India, Dr Daljit Singh Eye Hospital, Radhaswami Road, Amritsar, India, Dr Daljit Singh Eye Hospital, 57, Joshi Colony, Amritsar-143001, India
Chapter keywords
glaucoma surgery with Fugo plasma blade, Fugo blade, excimer laser, trans-ciliary filtration, ciliary body, trabeculectomy, cyclodialysis

Abstract

This chapter discusses glaucoma surgery with Fugo plasma blade. Fugo blade is a unique electro-surgical device that ablates much like an excimer laser. Trans-ciliary filtration is explained. The technique allows the drainage of the posterior chamber to the sub-conjunctival space. The track passes through the ciliary body. Trans-conjunctival trans-ciliary filtration (TC-TCF) is described. Singh microtrack filtration is the simplest way to create a filtration track. Ab-interno filtration with Fugo blade is discussed. It explains the role of lymphatics in health and after glaucoma surgery. Fugo blade is an important development. The plasma energy from this tool can do any kind of classical glaucoma operation, such as trabeculectomy, non-perforating filtration, cyclodialysis and the fixation of a glaucoma valve, with unmatched finesse. Plus there are options for newer and simpler techniques. Fugo blade reduces surgical trauma.

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