PMC5974818_01
(a) Exposure of the knot on the surface of the sclera after peritomy and careful conjunctival dissection (b) 3 mm x 3 mm scleral flap created posterior to suture exit site, then flipped anteriorly to cover the external knot and secured with 10-0 nylon
MEAJO-25-47-g001.jpg
PMC5974818_01_MEAJO-25-47-g001.jpg
F1
After adequate peribulbar anesthesia, a conjunctival peritomy was created, and the conjunctiva was carefully dissected away from the suture [Figure 1a], taking care not to cut the suture. A 3 mm x 3 mm scleral flap was created posterior to the suture exit site, and flipped to cover the exposed suture [Figure 1b].
Postoperative appearance with intact conjunctiva and buried 10-0 nylon sutures securing the autologous scleral flap
MEAJO-25-47-g002.jpg
PMC5974818_01_MEAJO-25-47-g002.jpg
F2
Postoperatively, the conjunctiva was intact over the surgical site, and the scleral autograft was in place with no recurrence of exposure [Figure 2].