Amniotic membrane transplantation for intraoperative conjunctival repair during trabeculectomy with mitomycin C

Gisèle Li, Thomas O'Hearn, Samuel Yiu, Brian A. Francis

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: To describe the use of amniotic membrane (AM) transplantation for the repair of conjunctival buttonholes during trabeculectomy with mitomycin C. METHODS: Four eyes of 3 patients with thin conjunctiva, precluding watertight conjunctival closure at the incision site with suturing, underwent intraoperative AM grafts over the leaking areas. RESULTS: In all eyes, a functional, nonleaking bleb was achieved. At the latest follow-up (8 to 30 mo), all eyes had intraocular pressures of 12 mm Hg or less without medications. CONCLUSIONS: AM transplantation was effective in the intraoperative closure of conjunctival buttonholes which developed at the incision line in 4 eyes. This intervention may be a useful addition to the glaucoma surgeon's repertoire of surgical techniques.

Original languageEnglish (US)
Pages (from-to)521-526
Number of pages6
JournalJournal of glaucoma
Volume16
Issue number6
DOIs
StatePublished - Sep 1 2007
Externally publishedYes

Keywords

  • Amniotic membrane
  • Bleb leak
  • Conjunctival buttonhole
  • Glaucoma

ASJC Scopus subject areas

  • Ophthalmology

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