TY - JOUR
AR - AJSCR-2019-1-101
TI - A Novel Surgical Technique for Closure of Dehiscence Conjunctiva Due to
Glaucoma Drainage Device
AU - Abdus, Samad Ansari
AU - Divya, Mathews
JO - American Journal of Surgical Case Reports
PY - 2019
DA - Fri 13, Dec 2019
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2019.01.01
UR - https://www.sciencerepository.org/a-novel-surgical-technique-for-closure-of-dehiscence-conjunctiva_AJSCR-2019-1-101 
KW - Glaucoma drainage device, GDD, Baerveldt tube, conjunctival dehiscence, tutoplast, conjunctival autograft, amniotic membrane, tube extrusion, conjunctival erosion
AB - Background: Step by step surgical technique for closure of dehisced conjunctiva in a patient with glaucoma
drainage device (GDD).
Purpose: To describe a step by step new surgical technique using combined tutoplast, conjunctival autograft
and amniotic membrane to close dehisced conjunctiva in a patient with GDD.
Case report: Patient with previous history of herpetic kerato uveitis and Baerveldt tube developed
dehiscence of conjunctiva over the plate. He had previous surgical interventions on two occasions, which
consisted of direct closure of the conjunctiva and conjunctival autograft, with no success. In order to close
the persistent defect, he underwent additional surgery in the form of relieving conjunctival incisions,
tutoplast, conjunctival autograft and amniotic membrane to ensure closure of defect and healing.
Conclusions: Tube/plate erosions are a very challenging problem to manage, especially in eyes that have
undergone several surgical interventions. As demonstrated here, tutoplast, conjunctival autograft and
amniotic membrane can be used in conjunction, in situations where conjunctival scarring otherwise preclude
successful repair.