Turn off the tap: Inflow surgery comes of age with ECP

For almost 50 years, trabeculectomy has been considered the ‘gold standard’ procedure in the surgical management of the Glaucoma patient. The operation undoubtedly works well in many surgeons’ hands, and over the last 20 years small changes in surgical technique have improved the safety profile of guarded sclerostomy. ‘Tube’ surgery has also long been widely advocated and debate rages about which of these two mainstream treatments should be the de facto surgery for glaucoma.

In a continued attempt to improve the surgical risk/benefit ratio, there have more recently been advocated other surgical glaucoma procedures, which may in time take on the mantle of ‘standard of care’.

Our SIS presents a selection of these new treatments as a basis for a robust discussion of why and how we offer surgery to control our patients’ disease with the ultimate aim of preserving their vision as effectively and safely as possible.