Fig. 11. Fornix-based conjunctival flap preparation. A. Exposure was excellent, and a traction suture was not necessary. Grasp the conjunctiva gently with smooth forceps next to the limbus, and incise with sharp Wescott scissors. Extend the incision 6 mm, staying as close to the cornea as possible. B. Use blunt Wescott scissors to tunnel under Tenon's capsule, creating a potential space for aqueous flow. A relaxing incision (not shown) at one end of the peritomy may be necessary if limbal exposure is difficult. This is particularly helpful in eyes with limbal scarring, as is commonly seen following a scleral buckle. C. Scrape the limbus with a 69 Beaver blade to remove epithelium in order to encourage rapid wound healing at the limbus. |