{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:50:24Z","timestamp":1791359424663,"version":"4.3.1"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Success rates for trabeculectomy have notably advanced with the adjunctive use of antifibrotic agents, particularly mitomycin C. Despite this, the increased prevalence of thin, cystic blebs and late-onset bleb leaks, particularly those complicated by scleral fistula formation, represents a visually threatening sequela. This manuscript delineates a modified autologous rotational partial-thickness scleral flap technique employed as a salvage procedure in managing late, leaking, thin cystic blebs with underlying scleral fistulae. In two patients managed with this technique, we observed re-establishment of an anatomically stable, moderately vascularized bleb, and maintenance of intraocular pressure within target range over 18\u201324 months. The procedure utilizes trypan blue-assisted peeling of the epithelium and a rotational, partial-thickness scleral flap, with conjunctival advancement, thereby achieving tectonic support and functional preservation of filtration.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2191_24","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:03:37Z","timestamp":1790690617000},"page":"1531-1534","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Autologous rotational partial thickness scleral flap \u2013 A salvage technique for late leaking blebs with scleral fistula"],"prefix":"10.4103","volume":"74","author":[{"given":"Dewang","family":"Angmo","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subodh","family":"Lakra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanuj","family":"Dada","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"R1-20261007","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1136\/bjo.88.1.99","article-title":"Outcomes of bleb excision and conjunctival advancement for leaking or hypotonous eyes after glaucoma filtering surgery","volume":"88","author":"Tannenbaum","year":"2004","journal-title":"Br J 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blebs repaired with scleral patch graft and conjunctival advancement in late-onset leak post-trabeculectomy","volume":"69","author":"Pathak","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"R13-20261007","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1177\/1120672120924343","article-title":"Bleb reconstruction using donor scleral patch graft for late bleb leak and hypotony","volume":"31","author":"O\u2019Rourke","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R14-20261007","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/S0161-6420(99)00174-8","article-title":"Bleb reduction and bleb repair after trabeculectomy","volume":"107","author":"La Borwit","year":"2000","journal-title":"Ophthalmology"}],"container-title":["Indian Journal of 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