ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume : 7 Issue : 3 Year : 2022
Scleral Flap Wound Dehiscence with Valsalva Maneuver After Trabeculectomy with Mitomycin C [Beyoglu Eye J]
Beyoglu Eye J. 2022; 7(3): 231-236 | DOI: 10.14744/bej.2022.34711

Scleral Flap Wound Dehiscence with Valsalva Maneuver After Trabeculectomy with Mitomycin C

Sirel Gür Güngör, Almila Sarıgül Sezenöz, Ümit Ekşioğlu, Ahmet Akman
Department of Ophthalmology, Başkent University, Ankara, Türkiye

Incisional surgeries such as trabeculectomy reduce the resistance of the eye to trauma. Trabeculectomy is often per-formed together with mitomycin C, and late onset hypotony is already an expected complication in these eyes. This case report presents a patient who developed dehiscence of the scleral flap and hypotony maculopathy after Valsalva maneuver after 5.5 years of trabeculectomy. In a 6-month period, the patient’s hypotonic maculopathy became evident, and vision was affected after this period. Thereupon, the wound site was explored, and dehiscence of the scleral flap at the temporal wound site and increased aqueous outflow were detected. Repair was done with sterile pericardium patch. Post-operative vision, intraocular pressure, and hypotony maculopathy recovered very quickly. After incisional surgeries, patients should be warned against both external trauma and minor traumas such as eye rubbing and Valsalva maneuver.

Keywords: Glaucoma, hypotony maculopathy, scleral flap dehiscence, trabeculectomy.

Sirel Gür Güngör, Almila Sarıgül Sezenöz, Ümit Ekşioğlu, Ahmet Akman. Scleral Flap Wound Dehiscence with Valsalva Maneuver After Trabeculectomy with Mitomycin C. Beyoglu Eye J. 2022; 7(3): 231-236

Corresponding Author: Sirel Gür Güngör, Türkiye
Manuscript Language: English
LookUs & Online Makale