What are the indications for trabeculectomy?

Updated: May 18, 2020
  • Author: Maria Hannah Pia Uyloan de Guzman, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

Answer

The indications for trabeculectomy are as follows:

Trabeculectomy can be performed for all types of glaucoma. However, in many types and stages of glaucoma the ideal initial treatment is something other than trabeculectomy (eg, topical medication is often the first-line treatment for primary open-angle glaucoma). The challenge lies in deciding when to choose trabeculectomy over other treatment methods that are appropriate for a particular case. The risks and potential benefits of trabeculectomy must be weighed against the risks and potential benefits of the patient's current therapy (if any). The type and stage of the glaucoma and the presence of comorbid conditions (eg, cataract) must also be considered. Alternative glaucoma treatments include medication, laser procedures and other incisional surgical procedures such as glaucoma drainage device implantation.


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