{Reference Type}: Journal Article
{Title}: Scleral bridging technique for preventing PreserFlo microshunt exposure: A case report.
{Author}: Nakakura S;Nagata Y;Fujisawa Y;Kiuchi Y;
{Journal}: Medicine (Baltimore)
{Volume}: 103
{Issue}: 27
{Year}: 2024 Jul 5
{Factor}: 1.817
{DOI}: 10.1097/MD.0000000000038847
{Abstract}: <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.