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CASE REPORT
Year : 2016  |  Volume : 28  |  Issue : 2  |  Page : 142-144

Trabeculectomy with scleral patch graft for advanced glaucoma in ehler–danlos syndrome


Department of Glaucoma, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dhanya Cheriyath
Glaucoma Consultant, Al Salama Eye Hospital, Kannur, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_32_16

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We report a case of secondary glaucoma in Ehler–Danlos syndrome (EDS) Type VI, which was uncontrolled with maximal medical therapy, and was subsequently managed surgically. EDS comprises a subgroup of heritable connective tissue disorders characterized by generalized joint hypermobility, skin hyperextensibility, and tissue fragility. The surgical challenges in these patients are presence of scleral thinning, vascular fragility, and poor wound healing. Surgical intervention such as trabeculectomy in EDS has not been reported in the literature. With this case report, we share our trials and tribulations in managing this patient with trabeculectomy without antimetabolites, with unexpected modification in the surgery and success.


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