What are the contraindications 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 relative contraindications to trabeculectomy are situations where the chance of failure is high, the risks outweigh the potential benefits, or the primary cause of the glaucoma is treatable. These contraindications include the following:

  • Cases that are likely to respond well to less invasive treatments (eg, medications, laser iridotomy)

  • Eyes with previous failed trabeculectomy

  • Eyes with severely scarred conjunctiva (eg, chemical burns, Stevens-Johnson syndrome)

  • Neovascular glaucoma with active neovascularization

  • Blind eyes


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