title: Resuturing the scleral flap through conjunctiva for treatment of excess filtration.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Tokyo Medical University, Hachioji Medical Center, Tokyo, Japan. shirato-tky@umin.ac.jp
authors.forename: Shiroaki
authors.initials: S
authors.lastname: Shirato
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Maruyama
authors.forename: Mai
authors.initials: M
authors.lastname: Haneda
mesh_terms: 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
chemical_list: D009757:Nylons