Cyanoacrylate glue in an inadvertent trabeculectomy flap tear

  • Niro Kasahara
Letter to the Editor

Dear Editor,

I was recently challenged by a very daunting situation during a filtering glaucoma procedure I thought I should share with my colleagues.

A 68-year-old male patient had previously undergone 25G pars plana vitrectomy with silicone oil tamponade and endolaser photocoagulation for a retinal detachment in his right eye 4 years ago. Three years later, after phacoemulsification and intraocular lens implantation, he developed glaucoma. He was on maximal medical therapy and uncontrolled intraocular pressure. I thought the best option for him was a mitomycin-C trabeculectomy. During surgery, I noticed that the scleral flap was very thin but proceeded with the surgery. I placed two sutures with 10-0 nylon on a spatula needle on each corner of the flap and noticed a greater flow through the nasal aspect of the flap. I decided to place a third suture when a larger than usual hole developed and increased to a complete tear when tying the knot. Balanced salt solution (BSS) was flowing...


Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

Patient consent

The patient has consented to the submission of the letter to the editor to the journal.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Sao PauloBrazil

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