%0 Journal Article
%T Scleral bridging technique for preventing PreserFlo microshunt exposure: A case report.
%A Nakakura S
%A Nagata Y
%A Fujisawa Y
%A Kiuchi Y
%J Medicine (Baltimore)
%V 103
%N 27
%D 2024 Jul 5
%M 38968453
%F 1.817
%R 10.1097/MD.0000000000038847
%X <B>BACKGROUND: </B>The use of the PreserFlo microshunt is gaining popularity owing to its ease of implantation and reduced need for postoperative intervention compared to conventional trabeculectomy.<BR><B>METHODS: </B>However, microshunt exposure remains a severe complication of PreserFlo surgery, particularly in patients with a thin Tenon capsule and conjunctiva. However, the actual thickness and intensity of the Tenon capsule or conjunctiva can be confirmed only during surgery.<BR><B>METHODS: </B>Exfoliation glaucoma with previous several glaucoma surgeries with thinner Tenon capsule or conjunctiva.<BR><B>METHODS: </B>We performed PreserFlo implantation with a surgical technique to recover a thin Tenon capsule and conjunctiva by creating a half-thickness rectangular scleral flap under the shunt and covering it over the microshunt until the distal part, similar to the bridge.<BR><B>RESULTS: </B>The patient had better intraocular pressure control with positive cosmetic appearance using this technique.<BR><B>CONCLUSIONS: </B>This technique will be beneficial for both preventing exposure and holding down the top, in addition to improving cosmetic appearance.