Conjunctival flap advancement with or without scleral graft for hypotony maculopathy after trabeculectomy

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The Revised ‘T’Shaped Limbal Based Scleral Flap With Fornix Based Conjunctival Flap Trabeculectomy

Aim: The aim of this study is to introduced the efficacy, longevity and safety of this new ‘T’shaped limbal based sclera flap with fornix based conjunctival flap trabeculectomy leading to better result like controlling intra ocular pressure satisfactory ,and no shallow anterior chamber after the surgery. Method: As it is a clinical research which was done on 26 patients and all the patient went...

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Reconstruction of delayed scleral flap melting with bovine pericardium after trabeculectomy with mitomycin C

Aim: To present a challenging case of hypotony after trabeculectomy and its treatment. Case description: A 22-year-old woman with juvenile glaucoma underwent a conventional trabeculectomy with mitomycin C on the right eye (OD). In the immediate postoperative period, we observed a hyperfiltration bleb with hypotony refractory to conservative measures leading to hypotony maculopathy. A surgical r...

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Excessive scleral shrinkage, rather than choroidal thickening, is a major contributor to the development of hypotony maculopathy after trabeculectomy

PURPOSE We previously reported that eyes with hypotony maculopathy (HM) after trabeculectomy (TLE) exhibited more reduction of axial length (AL) than those without HM, suggesting that inward collapse of the scleral wall may contribute to the development of HM after TLE. However, we did not evaluate change in choroidal thickness (CT), which could influence AL measures. We compared the magnitude ...

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Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival Graft

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 c...

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Late-onset Hypotony Maculopathy After Trabeculectomy in a Highly Myopic Patient With Juvenile Open-angle Glaucoma

Hypotony maculopathy is a sight-threatening complication after trabeculectomy. We report on a 34-year-old man with juvenile open-angle glaucoma and high myopia, who developed hypotony maculopathy 14 years after trabeculectomy without bleb leak. This represents the longest known period from trabeculectomy to the development of hypotony maculopathy without bleb leak. The possible mechanisms for t...

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ژورنال

عنوان ژورنال: International Journal of Ophthalmology

سال: 2020

ISSN: 2222-3959,2227-4898

DOI: 10.18240/ijo.2020.07.10