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Year : 2019  |  Volume : 57  |  Issue : 4  |  Page : 334

Conjunctival retraction and patch graft exposure after trabeculectomy with mitomycin C


Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Date of Submission05-Sep-2019
Date of Acceptance17-Oct-2019
Date of Web Publication26-Dec-2019

Correspondence Address:
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_82_19

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How to cite this article:
Senthilkumar VA, Krishna MS. Conjunctival retraction and patch graft exposure after trabeculectomy with mitomycin C. TNOA J Ophthalmic Sci Res 2019;57:334

How to cite this URL:
Senthilkumar VA, Krishna MS. Conjunctival retraction and patch graft exposure after trabeculectomy with mitomycin C. TNOA J Ophthalmic Sci Res [serial online] 2019 [cited 2020 Jul 14];57:334. Available from: http://www.tnoajosr.com/text.asp?2019/57/4/334/273984



A 72-year-old male diagnosed to have bilateral psuedoexfoliation glaucoma with senile nuclear cataract was taken up for combined small incision cataract surgery and trabeculectomy with mitomycin C. Intraoperatively as a small buttonhole was noted in the scleral flap while flap suturing with 10-o nylon, a clear corneal partial-thickness donor patch graft was placed over the flap area and was secured with 10-o nylon sutures. Our patient developed severe urinary retention on the first postoperative day and was referred to urologist for further management. The patient underwent trans urethral resection of prostrate (TURP) for benign prostatic hypertrophy (BPH). The patient lost to follow-up with us and presented to us after 6 weeks. Slit-lamp examination revealed significant conjunctival retraction and patch graft exposure, with rest of the anterior segment findings being normal [Figure 1]. The patient was advised for conjunctival advancement surgery, as patch graft exposure may lead to bleb-related endophthalmitis.[1],[2],[3] Here, we publish this to emphasize the fact that systemic illness can play an important role in conjunctival wound healing mechanism.
Figure 1: Showing conjunctival dehiscence with corneal patch graft exposure

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Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Carpineto P, Agnifili L, Nubile M, Fasanella V, Doronzo E, Mastropasqua A, et al. Conjunctival and corneal findings in bleb-associated endophthalmitis: Anin vivo confocal microscopy study. Acta Ophthalmol 2011;89:388-95.  Back to cited text no. 1
    
2.
Lehmann OJ, Bunce C, Matheson MM, Maurino V, Khaw PT, Wormald R, et al. Risk factors for development of post-trabeculectomy endophthalmitis. Br J Ophthalmol 2000;84:1349-53.  Back to cited text no. 2
    
3.
Jampel HD, Quigley HA, Kerrigan-Baumrind LA, Melia BM, Friedman D, Barron Y, et al. Risk factors for late-onset infection following glaucoma filtration surgery. Arch Ophthalmol 2001;119:1001-8.  Back to cited text no. 3
    


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