Journal of Current Glaucoma Practice

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VOLUME 14 , ISSUE 2 ( May-August, 2020 ) > List of Articles

Original Article

A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft

Saaquib R Bakhsh, David Rooney, Bryan A Goldman, Tom Obertynski, Chirag K Gupta

Keywords : Corneal patch graft, Lamellar sclerotomy, Persistent hypotony, Trabeculectomy reversal

Citation Information : Bakhsh SR, Rooney D, Goldman BA, Obertynski T, Gupta CK. A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft. J Curr Glaucoma Pract 2020; 14 (2):61-63.

DOI: 10.5005/jp-journals-10078-1277

License: CC BY-NC 4.0

Published Online: 04-11-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: We describe two cases demonstrating a new technique to permanently reverse a problematic trabeculectomy. Background: Trabeculectomy-related complications are typically treated in a manner that preserves the initial surgical outcome; however, in certain cases a complete reversal of the trabeculectomy is preferable to revision. Technique: Our technique involves seating a lamellar corneal graft into a partial thickness sclerectomy. Conclusion: This method achieves permanent closure of large ostomies or areas of scleromalacia. Clinical significance: This technique can be used on very anterior ostomies while still providing an excellent seal, patient comfort, and cosmesis without inducing astigmatism.


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