Surgical Innovation

Techniques Built for Real-World Eyes

Original surgical methods conceived, refined, and published from Bangladesh — designed to make advanced surgery safer, more reproducible, and more affordable.

Philosophy

Interventional Glaucoma, Adapted to Bangladesh

Modern glaucoma care intervenes earlier and more gently — from laser and procedural pharmaceuticals to tissue-sparing MIGS. Dr. Iqbal's work adapts this global spectrum to the realities of Bangladeshi practice: device cost, instrument availability, and the anatomy in front of the surgeon. Where an imported device is out of reach, a well-designed technique should not be.

Named Techniques

Developed & Described

Five techniques described in the peer-reviewed literature — spanning diagnosis at the slit lamp through to reconstruction in theatre.

B-BANG

A Bangladeshi modification of Bent Ab Interno Goniectomy. Midterm single-surgeon pilot outcomes published in BioMed Research International (Wiley, 2025) and presented at APGC.

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tFlow — Tube Flow Shunt

An innovative, cost-effective approach to the modified bleb-forming filtration technique, using sterile trimmed silicone tubing — engineered for settings where commercial drainage devices are financially out of reach.

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Filter-Enhanced Gonioscopy

Red-free (green) filter-enhanced gonioscopy with a smartphone — a low-cost, pilot-studied method that improves contrast and visualization of iridocorneal angle structures for diagnosis and MIGS planning.

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Prethreaded Needle SFX of mCTR

Prethreaded needle–assisted scleral fixation of a modified capsular tension ring for severe zonular deficiency — published in the Journal of Cataract & Refractive Surgery Online Case Reports.

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Sinskey Hook PC Plaque Peel

Sinskey hook–guided mechanical peeling of primary posterior capsular plaque during cataract surgery — a controlled, instrument-efficient intraoperative solution that preserves the posterior capsule.

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National firsts

First surgeon in Bangladesh to introduce TrabEx Pro, Gonioscopy-Assisted Transluminal Trabeculotomy (GATT), and Bent Ab Interno Goniectomy (BANG) — including a landmark GATT in primary congenital glaucoma, published as a first for childhood glaucoma care in the country.

Complex Anterior Segment

When the Routine Case Isn't

Refractory & Secondary Glaucoma

Trabeculectomy with MMC, glaucoma drainage devices including Ahmed valve and AADI, and staged management of failed filtration.

Complicated Cataract

Zonular deficiency, small pupil and iris repair including pupilloplasty and pupillary cerclage, posterior polar and hypermature cataract, premium IOL selection in compromised eyes.

Pediatric Glaucoma

Angle surgery for congenital glaucoma, bringing MIGS-era approaches to the youngest patients in Bangladesh.