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A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft

AIM AND OBJECTIVE: We describe two cases demonstrating a new technique to permanently reverse a problematic trabeculectomy. BACKGROUND: Trabeculectomy-related complications are typically treated in a manner that preserves the initial surgical outcome; however, in certain cases a complete reversal of...

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Autores principales: Bakhsh, Saaquib R, Rooney, David, Goldman, Bryan A, Obertynski, Tom, Gupta, Chirag K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695937/
https://www.ncbi.nlm.nih.gov/pubmed/33304061
http://dx.doi.org/10.5005/jp-journals-10078-1277
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author Bakhsh, Saaquib R
Rooney, David
Goldman, Bryan A
Obertynski, Tom
Gupta, Chirag K
author_facet Bakhsh, Saaquib R
Rooney, David
Goldman, Bryan A
Obertynski, Tom
Gupta, Chirag K
author_sort Bakhsh, Saaquib R
collection PubMed
description AIM AND OBJECTIVE: We describe two cases demonstrating a new technique to permanently reverse a problematic trabeculectomy. BACKGROUND: Trabeculectomy-related complications are typically treated in a manner that preserves the initial surgical outcome; however, in certain cases a complete reversal of the trabeculectomy is preferable to revision. TECHNIQUE: Our technique involves seating a lamellar corneal graft into a partial thickness sclerectomy. CONCLUSION: This method achieves permanent closure of large ostomies or areas of scleromalacia. CLINICAL SIGNIFICANCE: This technique can be used on very anterior ostomies while still providing an excellent seal, patient comfort, and cosmesis without inducing astigmatism. HOW TO CITE THIS ARTICLE: Bakhsh SR, Rooney D, Goldman BA, et al. A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft. J Curr Glaucoma Pract 2020;14(2):61–63.
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spelling pubmed-76959372020-12-09 A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft Bakhsh, Saaquib R Rooney, David Goldman, Bryan A Obertynski, Tom Gupta, Chirag K J Curr Glaucoma Pract Original Article AIM AND OBJECTIVE: We describe two cases demonstrating a new technique to permanently reverse a problematic trabeculectomy. BACKGROUND: Trabeculectomy-related complications are typically treated in a manner that preserves the initial surgical outcome; however, in certain cases a complete reversal of the trabeculectomy is preferable to revision. TECHNIQUE: Our technique involves seating a lamellar corneal graft into a partial thickness sclerectomy. CONCLUSION: This method achieves permanent closure of large ostomies or areas of scleromalacia. CLINICAL SIGNIFICANCE: This technique can be used on very anterior ostomies while still providing an excellent seal, patient comfort, and cosmesis without inducing astigmatism. HOW TO CITE THIS ARTICLE: Bakhsh SR, Rooney D, Goldman BA, et al. A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft. J Curr Glaucoma Pract 2020;14(2):61–63. Jaypee Brothers Medical Publishers 2020 /pmc/articles/PMC7695937/ /pubmed/33304061 http://dx.doi.org/10.5005/jp-journals-10078-1277 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Article
Bakhsh, Saaquib R
Rooney, David
Goldman, Bryan A
Obertynski, Tom
Gupta, Chirag K
A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title_full A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title_fullStr A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title_full_unstemmed A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title_short A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft
title_sort case series demonstrating a novel technique for reversal of trabeculectomy using lamellar sclerectomy and corneal graft
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7695937/
https://www.ncbi.nlm.nih.gov/pubmed/33304061
http://dx.doi.org/10.5005/jp-journals-10078-1277
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