| Autor: |
Beutinger, Daiane, de Mesquita Costa, Candice Carolina, Kasahara, Niro |
| Předmět: |
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| Zdroj: |
Arquivos Brasileiros de Oftalmologia; 2024, Vol. 87 Issue 2, p1-3, 3p |
| Abstrakt: |
The creation of a scleral flap during trabeculectomy can be complicated by a buttonhole, partial amputation at the limbus, and extensive thinning. In some cases, the procedure must be aborted to prevent more serious postoperative complications. This report describes a technique of converting complicated trabeculectomy into ab externo cyclodialysis. A 41-year-old patient with congenital glaucoma presented with a perforated scleral wall with the choroidal tissue exposed during the dissection of the partial-thickness scleral flap. By using a Barraquer cyclodialysis spatula through the scleral perforation, the choroid was separated from the sclera up to the scleral spur over 30° into the anterior chamber. The sclera and conjunctiva/ Tenon were sutured with 10-0 nylon single sutures. Two months later, the intraocular pressure was reduced to 16 mmHg with no hypotensive topical medications. This case illustrates an alternative approach to managing a flap-related perioperative complication in trabeculectomy, which yielded good early results. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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