TJ-CEO
2017 , Vol 12 , Num 1
Successful Coverage of Glaucoma Tube Exposure With Temporal Muscle Fascial Graft
1Uz.Dr., İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Göz Kliniği, İzmir - TÜRKİYE2Uz.Dr., İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Beyin Cerrahisi Kliniği, İzmir - TÜRKİYE
3Doç.Dr., İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Göz Kliniği, İzmir - TÜRKİYE Tube exposure is frequent complication of Ahmed glaucoma valve implantation. Our patient was 48 ?year-old man who had penetrating keratoplasty for corneal scar due to dynamite explosion. He had corneal grafting 5 times and trabeculectomy 2 times between 2003- 2015. Ahmed glaucoma valve implantation was performed in December 2014. Tube exposure occurred 7 weeks after the surgery. An autologous scleral patch graft was used to cover the tube with an initial success. However, tube exposure recurred after 8 weeks. This time, autologous temporal muscle fascia was used to cover the tube exposure on April 2015. Temporal fascial graft is widely used in craniofascial surgery to repair scalp defects and also well tolerated by the ocular structures. Amniotic membrane coverage of the graft enhances patient comfort and provides better cosmetic appearance. Keywords : Ahmed glaucoma valve, amniotic membrane transplantation, trabeculectomy, temporal facial graft, tube exposure