Transconjunctival flap sutures: A novel technique to combat hypotony

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dc.contributor.authorMaheshwari, Devendraen_US
dc.contributor.authorShyam, Priyankaen_US
dc.contributor.authorPawar, Neelamen_US
dc.contributor.authorRamakrishnan, Rengappaen_US
dc.date.accessioned2023-08-25T06:32:22Z
dc.date.available2023-08-25T06:32:22Z
dc.date.issued2022-03
dc.description.abstractBackground: Hypotony secondary to overfiltration is a recognized complication following trabeculectomy. Persistent hypotony requires intervention . Purpose: We describe a modified version of placing conjunctival compression sutures directly over the scleral flap. Synopsis: A 70-year-old male patient diagnosed with primary open angle glaucoma in both eyes underwent combined surgery in the right eye. On the tenth post-operative day, the patient presented with severe hypotony with 360? choroidal detachment. He was treated with corticosteroids and cycloplegics but developed hypotony maculopathy on the subsequent follow-up. Hence, he was further managed surgically by trans-conjunctival flap sutures to which he responded favorably with resolution of choroidal detachment and improvement in intraocular pressure and visual acuity. Highlights: Transconjunctival suturing of the scleral flap is an effective and minimally invasive treatment to prevent visual loss from hypotony maculopathy for an overfiltering bleb following trabeculectomy.en_US
dc.identifier.affiliationsGlaucoma Services, Aravind Eye Hospital and Post-Graduate Institute, Tirunelveli, Tamil Nadu, Indiaen_US
dc.identifier.citationMaheshwari Devendra, Shyam Priyanka, Pawar Neelam, Ramakrishnan Rengappa. Transconjunctival flap sutures: A novel technique to combat hypotony. Indian Journal of Ophthalmology. 2022 Mar; 70(3): 1073en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224221
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber3en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_427_22en_US
dc.subjectTransconjunctival flap sutureen_US
dc.subjectHypotonyen_US
dc.subjectTrabeculectomyen_US
dc.subjectOverfilterning bleen_US
dc.titleTransconjunctival flap sutures: A novel technique to combat hypotonyen_US
dc.typeJournal Articleen_US
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