How are antifibrotics applied during trabeculectomy?

Updated: May 18, 2020
  • Author: Maria Hannah Pia Uyloan de Guzman, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Antifibrotic application

When inserting sponges (also referred to as "onlay" type of antifibrotic application), grasp the leading side of the antifibrotic-soaked sponge with the tip of the forceps and grasp the body of the sponge with the blades of the forceps. This prevents the sponge from curling or crumpling as it is inserted and allows it to lay flat under the conjunctiva.

It is safer and more efficient to use a few large sponges than many small ones.

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