{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:18:53Z","timestamp":1787653133114,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe a novel tissue-sparing surgical technique\u2014the Qidwai Quilt Pull-Over Patch-graft (Q-POP) technique\u2014for the management of impending or established glaucoma drainage implant (GDI, ACP) tube exposure in high-risk eyes with conjunctival scarring and mechanical stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This report presents a single-case description of a monocular patient with severe nystagmus, extensive conjunctival fibrosis, and prior multiple ocular surgeries who developed progressive conjunctival thinning over a GDI (ACP) tube. A minimally invasive subconjunctival tunneling approach was used to deliver and position a scleral patch graft over the tube without a limbal-based peritomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Q-POP technique provided stable tube coverage with minimal conjunctival manipulation. Postoperatively, the graft remained flat and well-positioned with no evidence of re-exposure, conjunctival dehiscence, inflammation, or intraocular pressure instability during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Q-POP technique offers a safe, reproducible, and cost-neutral alternative for managing tube exposure in eyes with compromised conjunctiva where conventional peritomy-based repairs carry high risk. This method may be particularly valuable in eyes subjected to mechanical stress like nystagmus. Larger case series are warranted to assess long-term outcomes and broader applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261440422","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:32:25Z","timestamp":1776094345000},"page":"1470-1475","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Qidwai quilt pull-over patch-graft (Q-POP) technique: A novel method for repairing glaucoma tube exposure in conjunctival adhesions"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7439-4637","authenticated-orcid":false,"given":"Umair","family":"Qidwai","sequence":"first","affiliation":[{"name":"Patel Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.10.026"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-200204000-00010"},{"key":"e_1_3_3_4_2","first-page":"94","article-title":"Late-onset complications after glaucoma drainage implant surgery","volume":"106","author":"Raviv T","year":"1999","unstructured":"Raviv T, Greenfield DS, Liebmann JM, et al. Late-onset complications after glaucoma drainage implant surgery. Ophthalmology 1999; 106: 94\u2013101.","journal-title":"Ophthalmology"},{"key":"e_1_3_3_5_2","first-page":"1159","article-title":"Risk factors for conjunctival erosion after glaucoma drainage device implantation","volume":"97","author":"Kamat SS","year":"2013","unstructured":"Kamat SS, Edwards F, Bell J, et al. Risk factors for conjunctival erosion after glaucoma drainage device implantation. Br J Ophthalmol 2013; 97: 1159\u20131164.","journal-title":"Br J Ophthalmol"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2015.05.025"},{"key":"e_1_3_3_7_2","first-page":"523","article-title":"Outcomes of amniotic membrane patch grafts in tube exposure","volume":"61","author":"Singh M","year":"2013","unstructured":"Singh M, Bhartiya S, Dada T, et al. Outcomes of amniotic membrane patch grafts in tube exposure. Indian J Ophthalmol 2013; 61: 523\u2013526.","journal-title":"Indian J Ophthalmol"},{"key":"e_1_3_3_8_2","first-page":"661","article-title":"Modified technique of tube exposure repair using double-thickness pericardial patch grafts","volume":"4","author":"Al-Torbak AA","year":"2010","unstructured":"Al-Torbak AA. Modified technique of tube exposure repair using double-thickness pericardial patch grafts. Clin Ophthalmol 2010; 4: 661\u2013664.","journal-title":"Clin Ophthalmol"},{"key":"e_1_3_3_9_2","first-page":"721","article-title":"Pars plana tube insertion of the Ahmed valve in eyes with refractory glaucoma and poor anterior chamber anatomy","volume":"108","author":"Sidoti PA","year":"2001","unstructured":"Sidoti PA, Mosny TP, Ritterband DC, et al. Pars plana tube insertion of the Ahmed valve in eyes with refractory glaucoma and poor anterior chamber anatomy. Ophthalmology 2001; 108: 721\u2013728.","journal-title":"Ophthalmology"},{"key":"e_1_3_3_10_2","first-page":"765","article-title":"Follow-up of the tube versus trabeculectomy study","volume":"152","author":"Topouzis F","year":"2011","unstructured":"Topouzis F, Coleman AL, Choplin NT, et al. Follow-up of the tube versus trabeculectomy study. Am J Ophthalmol 2011; 152: 765\u201373.e1.","journal-title":"Am J Ophthalmol"},{"key":"e_1_3_3_11_2","first-page":"188","article-title":"Surgical complications of glaucoma drainage devices","volume":"18","author":"Lee RK","year":"2007","unstructured":"Lee RK. Surgical complications of glaucoma drainage devices. Curr Opin Ophthalmol 2007; 18: 188\u2013193.","journal-title":"Curr Opin Ophthalmol"},{"key":"e_1_3_3_12_2","article-title":"Use of autologous buccal mucous membrane grafts for the repair of tube exposure in refractory glaucoma: a novel technique","volume":"25","author":"Maheshwari D","year":"2016","unstructured":"Maheshwari D, Nayak H, Mathur G. Use of autologous buccal mucous membrane grafts for the repair of tube exposure in refractory glaucoma: a novel technique. J Glaucoma 2016; 25: e823\u2013e826.","journal-title":"J Glaucoma"},{"key":"e_1_3_3_13_2","first-page":"699","article-title":"Autologous tragal perichondrium graft for glaucoma drainage device tube exposure","volume":"98","author":"DeSousa JL","year":"2014","unstructured":"DeSousa JL, Tong L, Tan DT. Autologous tragal perichondrium graft for glaucoma drainage device tube exposure. Br J Ophthalmol 2014; 98: 699\u2013701.","journal-title":"Br J Ophthalmol"},{"key":"e_1_3_3_14_2","first-page":"1151","article-title":"Management of tube exposure after glaucoma drainage device surgery with scleral patch graft and conjunctival advancement","volume":"94","author":"Mandalos A","year":"2010","unstructured":"Mandalos A, Sung VCT. Management of tube exposure after glaucoma drainage device surgery with scleral patch graft and conjunctival advancement. Br J Ophthalmol 2010; 94: 1151\u20131154.","journal-title":"Br J Ophthalmol"},{"key":"e_1_3_3_15_2","first-page":"1611","article-title":"Conjunctival erosion and tube exposure following glaucoma drainage implant surgery","volume":"10","author":"Al-Sharif AM","year":"2016","unstructured":"Al-Sharif AM, Aljazzaf AM, AlRajhi AA, et al. Conjunctival erosion and tube exposure following glaucoma drainage implant surgery. Clin Ophthalmol 2016; 10: 1611\u20131616.","journal-title":"Clin Ophthalmol"},{"key":"e_1_3_3_16_2","first-page":"747","article-title":"Subconjunctival placement of patch grafts to cover exposed tubes","volume":"22","author":"Grippo TM","year":"2013","unstructured":"Grippo TM, Rizzo JF3rd, Netland PA. Subconjunctival placement of patch grafts to cover exposed tubes. J Glaucoma. 2013;22:747\u2013750.","journal-title":"J Glaucoma"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261440422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721261440422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721261440422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:25:07Z","timestamp":1787649907000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721261440422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/11206721261440422"],"URL":"https:\/\/doi.org\/10.1177\/11206721261440422","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]}}}