Down under the sclera: Deep sclerectomy

Deep Sclerectomy is an ab externo glaucoma filtration technique that aims to lower intra-ocular pressure without the need for a penetrating incision into the eye. The potential benefits are significant intra-ocular pressure reduction with a different complication profile to that of trabeculectomy. Deep Sclerectomy is not used by many glaucoma services world wide due to factors including restricted training, fear of intra-operative complications, a perceived steep learning curve and a perception that deep sclerectomy is ineffective or less effective than trabeculectomy. This presentation aims to address these issues by presenting data on the efficacy and complication profile of deep sclerectomy along with strategies to learn a safe and effective technique in a short period of time.