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Original Article

Author Details : Sameera Irfan

Volume : 1, Issue : 3, Year : 2015

Article Page : 130-136

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Abstract

Purpose: To find out how effective and safe Trans-ciliary Filtration with a Fugo-Plasma Blade is in providing a long term IOP control in different varieties of Glaucoma.

Material and Methods: A prospective interventional study was conducted at a tertiary care centre from Jan 2013 till July 2015. Trans-ciliary Filtration by Fugo Plasma Blade was performed by a single surgeon (SI) on 52 consecutive eyes from age 6 months to 55 years. All cases were referred because IOP was uncontrolled on triple anti-glaucoma medication .The mean follow-up after TCF was 1 year.

Results: In 48 eyes, IOP remained below 15 mm without the addition of any anti-glaucoma medication up to 1 year follow-up. This was a success rate of 80.76%. In 2 eyes with neovascular glaucoma, the bleb failed due to neo-vascularization and Cycle-Cryotherapy had to be performed. In 2 eyes with Buphthalmos, the IOP gradually crept up to 22 mm and they needed the addition of topical beta blocker drug.

Conclusion: TCF performed with the Fugo Plasma blade is a safe procedure with minimal complications, easy to learn and master and offers efficient long-term IOP control in various types of glaucoma except the neo-vascular.

 

Key words: Trans-ciliary Filtration, Glaucoma surgery, Trabeculectomy, Fugo-plasma Blade, Conjunctival lymphatics.

How to cite : Irfan S, . Indian J Clin Exp Ophthalmol 2015;1(3):130-136

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