Dr.Sahil Thakur, Dr.Suresh Kumar, Dr.Henna Garg, Dr.Parul Ichhpujani
Scleral Melting and cystic blebs are one of the most common complications in MMC augmented trabeculectomies. We present a case of thin cystic overfiltering bleb with scleral melting managed using autologous scleral flap graft from the adjacent healty sclera. There were no flap related complications in the post operative period. We recommend usage of autologous scleral flap graft for bleb revision in cases where scleral allograft procurement is difficult. It is however imperative to keep under consideration the potential chances of scleral thinning and unintended perforation during flap creation.