Resuturing the scleral flap through conjunctiva for treatment of excess filtration.
OBJECTIVE
To elevate the intraocular pressure (IOP) in eyes with persistent hypotony caused by excess filtration after trabeculectomy.


METHODS
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 has been performed in 10 eyes.


RESULTS
The IOP elevated from 2.6 (+/- 1.0) mm Hg to 8.8 (+/- 3.7) mm Hg in 1 week and has been maintained between 6 to 14 mm Hg during the follow-up. Hypotony maculopathy has disappeared in nine eyes. The suture was buried in the conjunctiva spontaneously in 1 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.
Shirato
Shiroaki
S
Department of Ophthalmology, Tokyo Medical University, Hachioji Medical Center, Tokyo, Japan. shirato-tky@umin.ac.jp
Maruyama
Katsuhiko
K
Haneda
Mai
M
D003228:Conjunctiva / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D009757:Nylons; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D013537:Sutures; D014130:Trabeculectomy / Q000009:adverse effects
D009757:Nylons