Journal of Current Glaucoma Practice

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


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: 01-08-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


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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