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Conjunctival Closure: Steps to Success
Constance Okeke, MD, MSCE
Constance Okeke, MD, MSCE, breaks down her approach to conjunctival closure for glaucoma surgery. Dr. Okeke shares pearls for the initial dissection and overviews the four key steps of her closure technique, which she uses for trabeculectomy and tube shunts.
13 / 13 Series: American Glaucoma Society 2018
Comments
KarimTomey Lebanon - 11 months ago
A simpler technique in my own hands is to make the incision slightly behind the limbus, leaving a 3-mm stump. This way I can suture the conjunctival edges with a running mattress suture of either 8-0 or better yet 10-0 monofilament Vicryl on a round needle. I have also developed a trick to have both ends / knots of the suture completely buried. In my experience, this is technique offers secure closure and maximal comfort. Will be happy to share.
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