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¹M. D. Asistant, Selcuk University, Facuty of Medicine, Department of Ophthalmology, Konya/TURKEY
²M. D. Professor, Selcuk University, Facuty of Medicine, Department of Ophthalmology, Konya/TURKEY
³M. D. Asistant Professor, Selcuk University, Facuty of Medicine, Department of Ophthalmology, Konya/TURKEY
⁴M. D. Associate Professor, Selcuk University, Facuty of Medicine, Department of Ophthalmology, Konya/TURKEY Late-onset complications such as scleral flap melting and bleb dysfunction may occur after trabeculectomy, one of the surgical treatment techniques of glaucoma. We report two male patients aged 69 and 62, with late- onset flap melting who were managed with pericardial graft transplantation. The patients had undergone trabeculectomy four years and eighteen months ago, respectively. Due to melting of the flaps and observation of choroidal tissue reflection from the sclera, the patients were operated with patching of the blebs with pericardial tissue. No early of late postoperative complications were noted and the blebs were functional during the two year follow-up of both patients. The use of a pericardial graft may be considered as a safe alternative treatment in late onset bleb melting after trabeculectomy. Keywords : Neovascular glaucoma, trabeculectomy with mitomycin C, intravitreal injection