The Revised ‘T’Shaped Limbal Based Scleral Flap With Fornix Based Conjunctival Flap Trabeculectomy

Aim: The aim of this study is to introduced the efficacy, longevity and safety of this new ‘T’shaped limbal based sclera flap with fornix based conjunctival flap trabeculectomy leading to better result like controlling intra ocular pressure satisfactory ,and no shallow anterior chamber after the surgery. Method: As it is a clinical research which was done on 26 patients and all the patient went under the ‘T’shaped limbal based scleral flap with fornix based conjunctival flap for angle closure glaucoma .To check the short and long term efficacy of this incision. Spss.18 paired sample test was done. All the data were analysed, before and after the surgery. And also the follow up of patient after 1.5 year were also analysed to check the outcome and efficacy of this surgical procedure. Result: Under this research anterior chamber depth before surgery and after surgery where compared and found significant change (P < 0.05).And intra ocular pressure before and after surgery were also compared and also found high significant change (P < 0.05).Where as the comparative study was also done to compare the result after 1.5 year of follow up .In which anterior chamber after surgery compared with anterior chamber after 1.5 years of surgery and were found non-significant change (P > 0.05),where as intra ocular pressure after surgery and after 1.5 years were also analysed and found non-significant change (P > 0.05).Non – significant change of anterior chamber depth and intra ocular pressure after 1.5 year of follow up shows the patency and safety of this surgical procedure in long term as well as short term aspects. Conclusion: Our research demonstrate the long and short term effectiveness of our revised T-shaped limbal based scleral flap with fornix based conjunctival flap trabeculectomy.