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The frequency of bleb interventions after trabeculectomy is high. In half of the cases suture manipulation of the scleral flap is needed. Both standard and adjustable sutures are used for outflow adjustment of the scleral flap. The long-term results of both methods are equivalent. Open scleral flap revision and transconjunctival sutures are suitable for the treatment of hypotonia. Postoperative conjunctival suture removal seems to be favourable, improving both intraocular pressure and overall success rate.
Dr. T. Klink, Universitats-Augenklinik Wurzburg, Josef-Schneider-Strasse 11, 97080 Wurzburg, Germany. Klink_t@klinik.uni-wuerzburg.de
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)