|Year : 2019 | Volume
| Issue : 4 | Page : 334
Conjunctival retraction and patch graft exposure after trabeculectomy with mitomycin C
Vijayalakshmi A Senthilkumar, Mantravadi Shiva Krishna
Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu, India
|Date of Submission||05-Sep-2019|
|Date of Acceptance||17-Oct-2019|
|Date of Web Publication||26-Dec-2019|
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|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 May 25];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.,, 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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| References|| |
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.
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.
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.