Use of autologous Tenon's capsule and scleral patch grafts for repair of excessively draining fistulas with leaking filtering blebs.
OBJECTIVE
To report the use of autologous Tenon's and partial-thickness scleral tissues for patch graft revisions of excessively draining fistulas associated with leaking filtering blebs.


METHODS
Appropriate sized pieces of autologous Tenon's tissue and partial-thickness scleral tissue were dissected near the surgical sites and used as patch grafts to effectively repair excessively draining fistulas with leaking filtering blebs.


RESULTS
Both Tenon's and partial-thickness scleral patch grafts were useful in adequately closing the excessively draining fistulas.


CONCLUSIONS
Autologous Tenon's and scleral tissue patch grafts appear to be safe and effective for the repair of excessively draining fistulas, and are useful when patch grafts are unexpectedly needed.
Morris
D A
DA
Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Michigan, USA.
Ramocki
J M
JM
Shin
D H
DH
Glover
B K
BK
Kim
Y Y
YY
D000368:Aged; D003229:Conjunctival Diseases / Q000209:etiology / Q000601:surgery*; D005122:Exudates and Transudates; D005205:Fascia / Q000637:transplantation*; D005260:Female; D018463:Filtering Surgery / Q000009:adverse effects*; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000637:transplantation*; D014182:Transplantation, Autologous