Journal of Current Glaucoma Practice

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VOLUME 6 , ISSUE 2 ( May-August, 2012 ) > List of Articles

CASE REPORT

Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival Graft

Sourabh Sharma, Dhaval Patel, Reetika Sharma, Tanuj Dada

Keywords : Bleb, Conjunctival graft, Hypotony, Trabeculectomy

Citation Information : Sharma S, Patel D, Sharma R, Dada T. Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival Graft. J Curr Glaucoma Pract 2012; 6 (2):94-97.

DOI: 10.5005/jp-journals-10008-1113

License: CC BY-NC 4.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

Bleb revision for hypotony maculopathy following trabeculectomy is an effective technique for raising intraocular pressure and limiting visual loss. The presence for scleral fistula causing over-filtration obviates the need for reinforcing materials, such as donor sclera or pericardium to cover the defect. However, if the surrounding scleral tissue is healthy, a partial thickness scleral flap can be upturned and sutured over the fistula. Moreover, a vascularized pedical conjunctival graft can also be used in cases where there is a large conjunctival defect.


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