PMC4532944_01
The internal bore of the stent is clearly visible into the anterior chamber.
CRIOPM2015-847439.001.jpg
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fig1
The stent appeared well placed both subconjunctivally and at the gonioscopic examination (Figure 1).
15 days after surgery, the stent was exposed in its terminal part.
CRIOPM2015-847439.002.jpg
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fig2
The anterior chamber was well formed without signs of inflammation and there was no choroidal detachment (Figure 2).
(a) A large area of conjunctiva surrounding the stent was excised and mild diathermy was applied over the scleral area. (b) A double layer of amniotic membrane was sutured over the dissected area. (c) After ballooning the conjunctiva with lidocaine, a larger patch of conjunctiva was excised in the inferotemporal quadrant to serve as a graft. (d) The graft was sutured over the amniotic membrane with 10-0 nylon interrupted sutures.
CRIOPM2015-847439.003.jpg
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fig3
The bleb as it appears 6 months after surgery. A deep suture that could not be easily removed is still visible under the conjunctiva.
CRIOPM2015-847439.004.jpg
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fig4
More than six months after surgery, the IOP is still under control without medications and the stent is well covered (Figure 4).