Chief & Presenting Author: Dr.Shivam Gupta

Co Author(s): Dr.Devendra Maheshwari, Dr.Madhavi Ramanatha Pillai, Dr. Nimrita Gyanchand Nagdev

Abstract

The outcomes of glaucoma filtering surgery have been significantly enhanced with the use of antifibrotic agents. Bleb leak is a serious complication of trabeculectomy and can lead to sight threatening complications like hypotony maculopathy and even endophthalmitis. Bleb leak can be managed both conservatively and surgically. We present a series of 4 cases with post trabeculectomy bleb leak which were managed using a scleral rotational autograft.
Video Highlight .
In this video authors depicts a novel technique in which patients own scleral is dissected and Flipped/Rotated and secured over the leaking scleral defect .
Conclusion:
scleral rotational autograft is a viable technique for managing bleb leak with ocular hypotony post-filtering surgery, which not only restores visual acuity but also ensures good IOP control