Modified Wise closure of the conjunctival fornix-based trabeculectomy flap

Tyler Q Kirk; Garry P Condon

doi:10.1016/j.jcrs.2014.01.002

Modified Wise closure of the conjunctival fornix-based trabeculectomy flap

J Cataract Refract Surg. 2014 Mar;40(3):349-53. doi: 10.1016/j.jcrs.2014.01.002. Epub 2014 Jan 27.

Authors

Tyler Q Kirk¹, Garry P Condon²

Affiliations

¹ From the Allegheny General Hospital, Pittsburgh, Pennsylvania, USA. Electronic address: [email protected].
² From the Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.

PMID: 24480563
DOI: 10.1016/j.jcrs.2014.01.002

Abstract

We present modifications to the Wise fornix-based conjunctival trabeculectomy flap technique that have minimized early wound leakage in our experience. A retrospective chart review of 509 consecutive eyes revealed a 2.9% leak rate in the first postoperative month and 1.6% returned to the operating room to resuture a persistent leak. If meticulously performed, this modified closure technique may provide watertight closure as commonly as limbal-based techniques.

MeSH terms

Conjunctiva / surgery*
Glaucoma / surgery*
Humans
Intraocular Pressure
Phacoemulsification / methods
Postoperative Complications
Retrospective Studies
Surgical Flaps*
Suture Techniques
Tonometry, Ocular
Trabeculectomy / methods*