title: Donor pericardium graft repair of traumatic globe rupture at previous trabeculectomy site.
abstract: A 65-year-old man with a history of bilateral trabeculectomy augmented with mitomycin C underwent surgery for a scleral rupture following trauma. The site of the rupture was a posterior extension of the scleral flap. Attempted closure of a ragged scleral wound was not possible without excessive distortion and induced astigmatism. Persistent hypotony due to over drainage was treated by patching the site with a donor pericardium graft, secured with 10-0 nylon sutures. Although the trabeculectomy became nonfunctional and further glaucoma surgery was eventually required, a good visual outcome was achieved due to early repair following trauma.
authors.affiliation: Moorfields Eye Hospital, London, United Kingdom.
authors.forename: Brinda P
authors.initials: BP
authors.lastname: Shah
authors.affiliation: Moorfields Eye Hospital, London, United Kingdom.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Clarke
mesh_terms: D000368:Aged; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D010496:Pericardium / Q000637:transplantation*; D012421:Rupture / Q000601:surgery; D012590:Sclera / Q000293:injuries; D015422:Scleral Diseases / Q000601:surgery*; D016378:Tissue Transplantation / Q000379:methods; D014130:Trabeculectomy; D016896:Treatment Outcome