Abstract
The advances in the field of ophthalmology during the past 2 decades have been revolutionary. One of the leading causes of blindness worldwide is Glaucoma. Due to aging of the population, the number of patients of this disease has been rising, with approximately 69 million cases of blindness expected by year 2020 as a result of Glaucoma. The surgical intervention of choice for glaucoma patients is trabeculectomy but its long term efficacy to maintain normal intraocular pressure has been disappointing. This can be attributed to postoperative progressive scarring of conjunctiva and fibroblastic activity at filtration site. Keeping this in mind, the present study was undertaken for the modification of trabeculectomy surgery by creating a sclera flap so that the sclera aqueous pool will help in reducing the fibroblastic activity. This study further enhances our understanding of glaucoma surgery. The successful outcome by the sclera aqueous pool technique could greatly improve the patient prognosis and can replace conventional trabeculectomy in the future.
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