A donor corneal patch graft for an incompetent scleral flap following trabeculectomy.
Prolonged postoperative hypotony may complicate filtration surgery, especially in conjunction with mitomycin-C. Incompetence of the scleral flap is one of the etiologic factors of hypotony. A persistent leak from an incompetent or traumatized scleral flap may necessitate surgical intervention, including patching techniques. To the best of the authors' knowledge, the following is the first report on using a partial-thickness corneal allograft as a patch for an incompetent and leaking scleral flap.
Department of Ophthalmology, Western Galilee-Nahariya Medical Center, Israel.
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S
Rumelt
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Rehany
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D002908:Chronic Disease; D016039:Corneal Transplantation; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012590:Sclera / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D014019:Tissue Donors; D014130:Trabeculectomy / Q000009:adverse effects*