2 comments

  1. Hello sir
    Excellent presentation.
    How to select the site of inner window in advanced buphthalmos for trabeculectomy?

    1. Trabeculotomy is definitely more challenging in advanced cases of buphthalmos and sometimes is almost impossible because of scleral thinning and displacement of Schlemm’s canal. I generally look slightly more posterior and if the sclera is thin I avoid doing a scleral flap and just make the radial cut over Schlemm’s canal directly from the scleral surface. Some of these cases may be better suited for tube-shunt implantation.

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