Modified Wise closure of the conjunctival fornix-based trabeculectomy flap.
We present modifications to the Wise fornix-based conjunctival trabeculectomy flap technique that have minimized early wound leakage in our experience. A retrospective chart review of 509 consecutive eyes revealed a 2.9% leak rate in the first postoperative month and 1.6% returned to the operating room to resuture a persistent leak. If meticulously performed, this modified closure technique may provide watertight closure as commonly as limbal-based techniques.
From the Allegheny General Hospital, Pittsburgh, Pennsylvania, USA. Electronic address: tylerqkirk@gmail.com.
Tyler Q
TQ
Kirk
From the Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
Garry P
GP
Condon
D003228:Conjunctiva / Q000601:surgery*; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D018918:Phacoemulsification / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps; D013536:Suture Techniques; D014065:Tonometry, Ocular; D014130:Trabeculectomy / Q000379:methods*