Abstract
The postoperative management in trabeculectomy plays a very important role in achieving long-term intraocular pressure lowering and corresponding decrease in risk of progressive glaucomatous optic neuropathy. We describe here a new approach we have been using for several years, ab-interno trans-corneal needling of the scleral wound and bleb, performed at the slit lamp. The procedure offers logistical, financial, and psychological advantages over standard trans-conjunctival bleb needling techniques. Preliminary, unpublished results suggest relatively high efficacy and safety compared to trans-conjunctival techniques.