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Abstract #10210 Published in IGR 6-1
Resuturing the scleral flap through conjunctiva for treatment of excess filtration
Shirato S; Maruyama K; Haneda MAmerican Journal of Ophthalmology 2004; 137: 173-174
PURPOSE: To elevate the intraocular pressure (IOP) in eyes with persistent hypotony caused by excess filtration after trabeculectomy. DESIGN: Interventional case series. METHODS: The scleral flap was sutured directly through the conjunctival flap using a round, tapered needle with a 10-0 nylon suture. This procedure was performed in ten eyes. RESULTS: The IOP elevated from 2.6 (± 1.0) to 8.8 (± 3.7) mmHg in one week and was maintained between 6 and 14 mmHg during the follow-up. Hypotony maculopathy disappeared in nine eyes. The suture was spontaneously buried in the conjunctiva in one week in all cases. No complications developed. CONCLUSIONS: Suturing the scleral flap directly through the conjunctival flap is a simple and effective modality to treat the hypotony caused by excess filtration after trabeculectomy.
Dr. S. Shirato, Department of Ophthalmology, Tokyo Medical University, Hachioji Medical Center, Tokyo, Japan. shirato-tky@umin.ac.jp
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
