title: Rotational lamellar scleral flap for the management of posttrabeculectomy bleb leak.
abstract: We describe a technique of rotational lamellar scleral flap for surgical repair in cases of posttrabeculectomy aqueous leak in patients with button holing or necrosis of the trabeculectomy flap. A rotational scleral flap is marked out from the sclera adjacent to the trabeculectomy site followed by a lamellar dissection to fashion the flap. Relaxing cuts are made at the base of the flap so as to ensure that the rotation flap adequately covers the site of aqueous leak. This flap is then secured to the underlying sclera and the cornea at the limbus.
authors.affiliation: Dr. Agarwal's Eye Hospital and Eye Research Center, Chennai, India.
authors.forename: Dhivya A
authors.initials: DA
authors.lastname: Kumar
authors.forename: Amar
authors.initials: A
authors.lastname: Agarwal
authors.forename: Vidya
authors.initials: V
authors.lastname: Nair
authors.forename: Soosan
authors.initials: S
authors.lastname: Jacob
authors.forename: Gaurav
authors.initials: G
authors.lastname: Prakash
authors.forename: Athiya
authors.initials: A
authors.lastname: Agarwal
mesh_terms: D001082:Aqueous Humor / Q000378:metabolism*; D001768:Blister / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000637:transplantation*; D013524:Surgical Flaps; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects*