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Related Experiment Video

Updated: Mar 3, 2026

Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
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Published on: June 27, 2025

394

Enhanced Trabeculectomy: The Moorfields Safer Surgery System.

Peng Tee Khaw, Mark Chiang, Peter Shah

    Developments in Ophthalmology
    |April 27, 2017
    PubMed
    Summary
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    Glaucoma filtration surgery (GFS) using trabeculectomy with antifibrotic agents can be improved by optimizing pre-, intra-, and postoperative strategies. The Moorfields Safer Surgery System minimizes complications and surgical failure, enhancing patient outcomes.

    Area of Science:

    • Ophthalmology
    • Surgical Innovation

    Background:

    • Trabeculectomy with antifibrotic treatment is a common glaucoma filtration surgery (GFS).
    • Antifibrotic agents reduce scarring but increase complications.
    • Advances aim to minimize both complications and surgical failure in GFS.

    Purpose of the Study:

    • To present preoperative, intraoperative, and postoperative strategies for improving GFS outcomes.
    • To detail techniques for reducing complications like hypotony and wound leaks.
    • To discuss antifibrotic agents, including mitomycin C, for preventing postoperative fibrosis.

    Main Methods:

    • Review of clinical experience, observation, and laboratory research.
    • Emphasis on individualized patient management across all surgical phases.

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  • Implementation of the "Moorfields Safer Surgery System".

    • Main Results:

    • Reduced incidence of major complications such as hypotony, cystic blebs, and endophthalmitis.
    • Improved overall outcomes in global practices.
    • Techniques are simple, require minimal equipment, and are easily mastered.

    Conclusions:

    • A comprehensive, multi-phase approach to trabeculectomy significantly enhances surgical outcomes.
    • The Moorfields Safer Surgery System offers a practical framework for safer and more effective GFS.
    • Individualized patient care is crucial for optimizing GFS success and minimizing risks.