Fascia lata patch graft in glaucoma tube surgery.

Abstract

PURPOSE:

To determine if using human cadaveric fascia lata grafts to cover glaucoma implant tubes is safe and effective.

METHODS:

All patients who underwent glaucoma implant surgery at the Doheny Eye Institute between July 1993 and September 1993 received a fascia lata patch graft to cover the subconjunctival portion of the tube. These patients were followed prospectively for clinical signs of conjunctival breakdown, graft melt, tube erosion, graft-related inflammation, infection, and graft-related complications.

RESULTS:

Twenty-two eyes of 21 patients were followed for a mean of 19 months. All eyes tolerated the fascia lata grafts well without clinical evidence of graft-related conjunctival, scleral, or intraocular inflammation. No tube erosion or melting of the graft was observed in the study group.

CONCLUSION:

Preserved donor fascia lata was well tolerated as a grafting material in glaucoma implant surgery. No clinical signs of graft rejection, foreign body reaction, tube erosion, or graft melt were observed in the study group during the follow-up period.

• Authors: T M Tanji, D C Lundy, D S Minckler, D K Heuer, R Varma
• Journal: Ophthalmology (Ophthalmology) Vol. 103 Issue 8 Pg. 1309-12 (Aug 1996) ISSN: 0161-6420 [Print] United States
• PMID: 8764803 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Child, Preschool
• Conjunctiva (surgery)
• Fascia Lata (transplantation)
• Follow-Up Studies
• Glaucoma (surgery)
• Humans
• Infant
• Middle Aged
• Molteno Implants
• Postoperative Complications
• Prospective Studies
• Tissue Preservation