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Rotational Lamellar Scleral Flap for the Management of Posttrabeculectomy Bleb Leak

Kumar, Dhivya A. M.D.; Agarwal, Amar M.S., F.R.C.S., F.R.C.Ophth.; Nair, Vidya M.D.; Jacob, Soosan M.S., F.R.C.S.; Prakash, Gaurav M.D.; Agarwal, Athiya M.D., D.O.

doi: 10.1097/ICL.0b013e31825fec4a
Case Report

Abstract: We describe a technique of rotational lamellar scleral flap for surgical repair in cases of posttrabeculectomy aqueous leak in patients with button holing or necrosis of the trabeculectomy flap. A rotational scleral flap is marked out from the sclera adjacent to the trabeculectomy site followed by a lamellar dissection to fashion the flap. Relaxing cuts are made at the base of the flap so as to ensure that the rotation flap adequately covers the site of aqueous leak. This flap is then secured to the underlying sclera and the cornea at the limbus.

Dr. Agarwal's Eye Hospital and Eye Research Center, Chennai, India.

Address correspondence and reprint requests to Amar Agarwal, M.S., F.R.C.S., F.R.Cophth., Dr. Agarwal's Eye Hospital and Eye Research Center, 19, Cathedral Road, Chennai 600 086, India; e-mail: dragarwal@vsnl.com.

The authors have no funding or conflicts of interest to disclose.

Accepted May 16, 2012

© 2013 Contact Lens Association of Ophthalmologists, Inc.