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Indian Journal of Clinical and Experimental Ophthalmology


"To assess the efficacy & safety of Trans-ciliary Filtration(TCF) by Fugo Plasma Blade for un-controlled Glaucoma”


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Author Details: Sameera Irfan

Volume : 1

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 130

Article End Page : 136


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.