Transconjunctival flap sutures: A novel technique to combat hypotony
dc.contributor.author | Maheshwari, Devendra | en_US |
dc.contributor.author | Shyam, Priyanka | en_US |
dc.contributor.author | Pawar, Neelam | en_US |
dc.contributor.author | Ramakrishnan, Rengappa | en_US |
dc.date.accessioned | 2023-08-25T06:32:22Z | |
dc.date.available | 2023-08-25T06:32:22Z | |
dc.date.issued | 2022-03 | |
dc.description.abstract | Background: 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.affiliations | Glaucoma Services, Aravind Eye Hospital and Post-Graduate Institute, Tirunelveli, Tamil Nadu, India | en_US |
dc.identifier.citation | Maheshwari Devendra, Shyam Priyanka, Pawar Neelam, Ramakrishnan Rengappa. Transconjunctival flap sutures: A novel technique to combat hypotony. Indian Journal of Ophthalmology. 2022 Mar; 70(3): 1073 | en_US |
dc.identifier.issn | 1998-3689 | |
dc.identifier.issn | 0301-4738 | |
dc.identifier.place | India | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/224221 | |
dc.language | en | en_US |
dc.publisher | All India Ophthalmological Society | en_US |
dc.relation.issuenumber | 3 | en_US |
dc.relation.volume | 70 | en_US |
dc.source.uri | https://doi.org/10.4103/ijo.IJO_427_22 | en_US |
dc.subject | Transconjunctival flap suture | en_US |
dc.subject | Hypotony | en_US |
dc.subject | Trabeculectomy | en_US |
dc.subject | Overfilterning ble | en_US |
dc.title | Transconjunctival flap sutures: A novel technique to combat hypotony | en_US |
dc.type | Journal Article | en_US |
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