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Summary Trabeculectomy has existed for 40 years now and remains not only the Gold Standard in filtering surgery but also the most commonly performed Glaucoma surgery worldwide. However, this highly effective intraocular pressure (IOP) lowering procedure is a time consuming, multi-step surgery with a relatively steep learning curve. Accordingly, a begginer surgeon should be aware of the critical steps in pre-operative, intra-surgical and post-operative management in order to maximize results with a low risk profile. In this lecture, we will cover the tips and tricks a surgeon may experience when first starting on this surgery. We will cover the topics concerning pre-surgical assessment of the patient, type of anesthesia, wound construction, scleral flap and ostium design as well as wound closure and post-operative management. Additionally, the most common results and complications in the early post-operative period will be discussed. |
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