title: Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival Graft.
abstract: Bleb revision for hypotony maculopathy following trabeculectomy is an effective technique for raising intraocular pressure and limiting visual loss. The presence for scleral fistula causing over-filtration obviates the need for reinforcing materials, such as donor sclera or pericardium to cover the defect. However, if the surrounding scleral tissue is healthy, a partial thickness scleral flap can be upturned and sutured over the fistula. Moreover, a vascularized pedical conjunctival graft can also be used in cases where there is a large conjunctival defect.
  Sharma S, Patel D, Sharma R, Dada T. Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival graft. J Current Glau Prac 2012;6(2):94-97.
authors.affiliation: Glaucoma Services, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sourabh
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Glaucoma Services, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Dhaval
authors.initials: D
authors.lastname: Patel
authors.affiliation: Glaucoma Services, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Reetika
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Glaucoma Services, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Tanuj
authors.initials: T
authors.lastname: Dada
keywords: Bleb; Conjunctival graft; Hypotony; Trabeculectomy.