This year is the 20th Anniversary of EyeAdvance, the iconic biennial congress organized by the International Academy for Advances in Ophthalmology (IAAO). In the last four years, EyeAdvance has been combined with "Focus" the Annual Congress of India's oldest and most prestigious ophthalmological society, the Bombay Ophthalmologists' Association (BOA).
Trabeculectomy has remained essentially unchanged since it was first described by Cairns in 1968. However, bugbears such as sub-conjunctival fibrosis and failure as well as flap-related problems such as uneven flap; maceration/tears in the flap; irritation, foreign body reaction and rarely, abscess secondary to flap sutures; sealing of the triplanar flap etc, are problems associated with it.
One thing Harminder S Dua MD, PhD does now that he didn't in years past is delay surgery for limbal deficiency in patients who retain a central island of corneal epithelium and reasonable vision.
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