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October 1977

Management of Persistent Filtering Cicatrix Following Cataract Extraction

Author Affiliations

From the Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania School of Medicine and Presbyterian-University of Pennsylvania Medical Center, Philadelphia (Dr Scheie); Department of Ophthalmology, University of Iowa, Iowa City (Dr Pitts); and Royal Alexander Hospital for Children, Sydney, Australia (Dr Martin).

Arch Ophthalmol. 1977;95(10):1835-1838. doi:10.1001/archopht.1977.04450100137019

• We used a safe and simple surgical technique in the management of persistent filtering cicatrices after cataract extraction. The edematous, friable filtering cicatrix was excised entirely and a healthy fornix-based conjunctival flap was sutured over the fistula. Invariably, the fistula was very small, usually only large enough to admit a 27-gauge needle. Of the 27 eyes treated with this technique, there were two failures, but no other complications.

(Arch Ophthalmol 95:1835-1838, 1977)