title: Late hypotony after cataract extraction due to a scleral fistula: a technique for surgical correction.
abstract: The authors report the use of a surgical procedure for the correction of a scleral fistula in a patient with late hypotony after cataract surgery. Trephination of necrotic tissue lining the scleral fistula with a double scleral patch technique was performed. Four months later, the patient's vision had improved to 20/40, with improvement of the macular folds and an intraocular pressure of 10 mm Hg. The authors conclude that the use of a double-patching technique is effective in the repair of scleral fistulas. The technique allows one to avoid more risky repair procedures that involve a greater area of tissue excision.
authors.affiliation: Department of Ophthalmology, New York Eye and Ear Infirmary, 10003, USA.
authors.forename: D
authors.initials: D
authors.lastname: Laroche
authors.forename: B
authors.initials: B
authors.lastname: McGowan
authors.forename: D
authors.initials: D
authors.lastname: Greenfield
authors.forename: J M
authors.initials: JM
authors.lastname: Liebmann
authors.forename: R
authors.initials: R
authors.lastname: Ritch
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D015814:Ocular Hypotension / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D015422:Scleral Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D014463:Ultrasonography; D014792:Visual Acuity