{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:50:16Z","timestamp":1765371016009,"version":"3.46.0"},"reference-count":14,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:00:00Z","timestamp":1758931200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:00:00Z","timestamp":1758931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>&lt;p&gt;Introduction: Tube exposure is a serious complication of glaucoma drainage device implantation. We describe a novel surgical approach using a partial-thickness corneal patch graft with conjunctival autograft and fibrin glue in a setting of severe conjunctival deficiency. Case Presentation: We describe a 72-year-old man with chronic angle-closure glaucoma who presented with tube exposure 1 year after Ahmed valve implantation. Risk factors included diabetes mellitus, a failed trabeculectomy, and prior vitrectomy. The conjunctiva surrounding the exposed tube was ischemic and immobile, and the original corneal patch graft had partially degraded. Revision surgery involved suturing a 4-mm partial-thickness corneal button over the exposed tube, anchored to the residual graft edge and sclera. Due to insufficient mobile conjunctiva, a 4 \u00d7 3 mm conjunctival autograft was harvested from the temporal bulbar conjunctiva and secured with fibrin glue at the border of the corneal button, partially covering it, to promote epithelialization. At 1-year follow-up, the tube remained fully covered with no recurrence. Conclusion: This unique surgical approach using a partial-thickness corneal button and conjunctival autograft offers a viable alternative in cases of tube exposure with severe conjunctival deficiency, where traditional techniques such as conjunctival advancement are not feasible. &lt;\/p&gt;<\/jats:p>","DOI":"10.1159\/000548727","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:11:30Z","timestamp":1765357890000},"page":"778-783","source":"Crossref","is-referenced-by-count":0,"title":["Partial-Thickness Corneal Patch Graft with Fibrin Glue for Tube Shunt Exposure: Case Report"],"prefix":"10.1159","volume":"16","author":[{"given":"Malachy","family":"Nemet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Ramon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Varssano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shimon","family":"Kurtz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Waisbourd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,9,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2004.10.006"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S104029"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.08.043"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.10.026"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-004560"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0000000000001220"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S261957"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e3181f3e5b4"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.14144"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120925641"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-016-0196-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181814d15"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2018.09.009"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.121.12.1772"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548727","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:11:33Z","timestamp":1765357893000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,27]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000548727","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.30225163","asserted-by":"subject"}]},"ISSN":["1663-2699"],"issn-type":[{"value":"1663-2699","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,27]]}}}