ABSTRACT

For the past 25 years, should topical medical therapy fail, glaucoma surgeons have routinely employed the operation of trabeculectomy when they wish to achieve adequate reduction in intraocular pressure (IOP). It is the purpose of this chapter to describe the origin of the operation, to see how it achieved its present pre-eminence, to look at the results and complications and then to judge whether the same operation, or one of its descendants, will be in use 25 years from now.