Trabeculectomy surgery with fixed sutures vs Releasable sutures in uncontrolled Glaucoma: Prospective interventional study

All the Glaucoma patients in ophthalmology department fulfilling inclusion criteria after taking informed consent from the participant.Detailed clinical history of the patients will be taken. Clinical examination of the patients will be done. Visual acuity will be assessed using Snellen’s chart. Ocular examination included Anterior segment evaluation with slit-lamp IOP will be measured by using Goldman applanation tonometry. Humphry’s visual field analysis will be done. Gonioscopy will be done to grade the angle (by using Shaffer’s grading system) and to note the presence and extent of peripheral anterior synechiae. Pupils will be dilated using Tropicamide 0.8%and Phenyalephrine 5% 1 drop  every 10 min till full dilatation is achieved. Fundus examination will be done using Indirect ophthalmoscope and90D lens with slit lamp. Follow up visit postoperatively will be on day14 and 28th and at the completion of 3months. Evaluation will include recording of IBAGS bleb score by slit lamp examination, measurement of IOP by GAT.