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Dr. Jiya Lal Memorial Hospital - is an ISO 9001-2000 Certified Hospitals. It is the only hospitals of its class in the Bundelkhand region. The Bundelkhan region is not a well developed , yet In Jhansi we have world class treatment facilities available here with state of art Equipments, Latest Techniques and team of Experts. Today Dr. Jiya Lal Memorial Hospital has choosen Carl Zeiss MEL 80 over other existing technologies available for LASIK . It is undoubtedly one of the best LASIK laser technologies available. This technology from ZEISS is unique which definitely gives a much better visual outcome compares to the old technologies.

 
 

Trabeculectomy

      

 Facilities Available At Dr. Jiyalal Memorial Hospital

Trabeculectomy is a surgical procedure used in the treatment of Glaucoma to relieve intraocular pressure by removing part of the eye's trabecular meshwork and adjacent structures. It is the most common glaucoma surgery performed and allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed. This outpatient procedure is most commonly performed under monitored anesthesia care in a half awake state using a retrobulbar block or a combination of topical and subtenon anesthesia

   Surgical Process



An initial pocket is created under the conjunctiva and Tenon's capsule and the wound bed is treated for several seconds to minutes with mitomycin C (MMC, 0.5-0.2 mg/ml) or 5-fluorouracil (5-FU, 50 mg/ml) soaked sponges. These chemotherapeutics help to prevent failure of the filter bleb from scarring by inhibiting fibroblast proliferation. Some surgeons prefer "fornix-based" conjunctival incisions while others use "limbus-based" construction at the corneoscleral junction which may allow easier access in eyes with deep sulci. A partial thickness flap with its base at the corneoscleral junction is then made in the sclera after careful cauterization of the flap area, and a window opening is created under the flap which a Kelly-punch to remove a portion of the sclera, Schlemm's canal and the trabecular meshwork to enter the anterior chamber. Because of the fluid egress the iris will partially prolapse through the sclerostomy and is usually therefore grasped to perform an excision called iridectomy. This iridectomy will prevent future blockage of the sclerostomy. The scleral flap is then sutured loosely back in place with several sutures. The conjunctiva is closed in a watertight fashion at the end of the procedure.
 

Post OperativeCare

Glaucoma medications are usually discontinued to improve aqueous humor flow to the bleb. Topical medications consist typically of antibiotic drops and anti-inflammatory therapy . A shield is applied to cover the eye until anesthesia has worn off (that also anesthetizes the optic nerve) and vision resumes.

Patients are instructed to call immediately for pain that cannot be controlled with over the counter pain medication or if vision decreases, to not rub the eye and to wear the shield at night for several days after surgery.