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May 1979

Repair of an Inadvertent Buttonhole or Leaking Filtering Bleb

Author Affiliations

From the Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock.

Arch Ophthalmol. 1979;97(5):926-927. doi:10.1001/archopht.1979.01020010484021

• Buttonholing of conjunctival flaps at the time of filtering glaucoma surgery or a leak in the flap postoperatively can cause serious problems and may be most difficult to repair. A new delicate atraumatic needle has been used successfully in five cases to close conjunctiva to conjunctiva or conjunctiva to cornea defects.