Journal of glaucoma · 1995
Rapid visual recovery and long-term intraocular pressure control after donor scleral patch grafting for trabeculectomy-induced hypotony maculopathy.
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Haynes W L, Alward W L
Аннотация
PURPOSE: To report on a 21-year-old man who had persistent hypotony maculopathy eight months after trabeculectomy with mitomycin C.
METHODS: He was treated by excising the filtering bleb, placing a donor scleral patch graft over the trabeculectomy site, and bringing conjunctiva superior to the previous bleb over the patch graft.
RESULTS: He had rapid resolution of his hypotony accompanied by an increase in visual acuity from 4/200 preoperatively to 20/80 at one day, and 20/20 at three months postoperatively. He also established and maintained a filtration bleb which kept his intraocular pressure in the mid teens without the use of medication.
CONCLUSION: Scleral patch grafting may provide rapid resolution of visual loss secondary to hypotony maculopathy.
METHODS: He was treated by excising the filtering bleb, placing a donor scleral patch graft over the trabeculectomy site, and bringing conjunctiva superior to the previous bleb over the patch graft.
RESULTS: He had rapid resolution of his hypotony accompanied by an increase in visual acuity from 4/200 preoperatively to 20/80 at one day, and 20/20 at three months postoperatively. He also established and maintained a filtration bleb which kept his intraocular pressure in the mid teens without the use of medication.
CONCLUSION: Scleral patch grafting may provide rapid resolution of visual loss secondary to hypotony maculopathy.