Autologous rotational partial thickness scleral flap - A salvage technique for late leaking blebs with scleral fistula.
Dewang Angmo, Subodh Lakra, Tanuj Dada
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Case in brief
Two patients with late leaking blebs complicated by scleral fistulae underwent a modified autologous rotational partial-thickness scleral flap procedure. This technique involved trypan blue-assisted epithelial peeling and conjunctival advancement, resulting in anatomically stable, moderately vascularized blebs. Both patients maintained intraocular pressure within the target range for 18-24 months postoperatively.
Diagnostic / clinical pearl
The autologous rotational partial-thickness scleral flap technique can effectively manage late leaking blebs with scleral fistulae, providing structural support and preserving filtration function.