Dr.Rashmi Krishnamurthy, Dr.Sirisha Senthil, Dr.Divya Rao
Purpose: Trabeculectomy under topical anesthesia using 0.5% proparacaine eye drops, a popular technique for cataract surgery, may help to reduce complications related to peribulbar anesthesia.
Methods and results: This video presents a simple technique of trabeculectomy and phacotrabeculectomy under topical and subtenons anesthesia. Patient selection and strategies to help improve patient comfort are demonstrated.
Conclusion: Topical anesthesia is safe and effective in trabeculectomy and combined phaco trabeculectomy and may help prevent unexplained postoperative vision loss like wipe out phenomenon in eyes with advanced glaucoma.
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