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Austin Bohner, MD, and Craig Chaya, MD
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Austin Bohner, MD, and Craig Chaya, MD, present their preferred surgical bleb revision technique they call "excise and mobilize." The technique involves removing necrotic tissue and advancing healthy conjunctiva. They say this approach preserves the flap filtration architecture and it is imperative to use a sharp instrument to facilitate the dissection plane. If inadequate conjunctiva remains for closure, shunt removal and patch grafting may be necessary. For tight conjunctiva, a relaxing fornix incision at the bulbar-palpebral junction can provide maximal mobility for repair.
Posted: 12/04/2024
Austin Bohner, MD, and Craig Chaya, MD
Austin Bohner, MD, and Craig Chaya, MD, present their preferred surgical bleb revision technique they call "excise and mobilize." The technique involves removing necrotic tissue and advancing healthy conjunctiva. They say this approach preserves the flap filtration architecture and it is imperative to use a sharp instrument to facilitate the dissection plane. If inadequate conjunctiva remains for closure, shunt removal and patch grafting may be necessary. For tight conjunctiva, a relaxing fornix incision at the bulbar-palpebral junction can provide maximal mobility for repair.
Posted: 12/04/2024
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