Academic Journal
The Qidwai quilt pull-over patch-graft (Q-POP) technique: A novel method for repairing glaucoma tube exposure in conjunctival adhesions.
| Τίτλος: | The Qidwai quilt pull-over patch-graft (Q-POP) technique: A novel method for repairing glaucoma tube exposure in conjunctival adhesions. |
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| Συγγραφείς: | Qidwai U; Department of Ophthalmology, Patel Hospital, Karachi, Pakistan. |
| Πηγή: | European journal of ophthalmology [Eur J Ophthalmol] 2026 Sep; Vol. 36 (5), pp. 1470-1475. Date of Electronic Publication: 2026 Apr 13. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9110772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6016 (Electronic) Linking ISSN: 11206721 NLM ISO Abbreviation: Eur J Ophthalmol Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : Thousand Oaks, CA : SAGE Publishing Original Publication: Milano ; Birmingham, AL : Wichtig, c1991- |
| Ιατρικοί όροι (MeSH): | Glaucoma Drainage Implants*/adverse effects , Conjunctiva*/surgery , Conjunctiva*/transplantation , Conjunctival Diseases*/surgery , Conjunctival Diseases*/etiology , Glaucoma*/surgery , Glaucoma*/physiopathology , Sclera*/transplantation, Intraocular Pressure/physiology ; Tissue Adhesions/surgery ; Humans ; Male |
| Περίληψη: | PurposeTo describe a novel tissue-sparing surgical technique-the Qidwai Quilt Pull-Over Patch-graft (Q-POP) technique-for the management of impending or established glaucoma drainage implant (GDI, ACP) tube exposure in high-risk eyes with conjunctival scarring and mechanical stress.MethodsThis 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.ResultsThe 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.ConclusionsThe 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. |
| Competing Interests: | Declaration of conflicting interestsThe author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: GLAUCOMA; conjunctival degenerations < CORNEA/EXTERNAL DISEASE; diseases of the ocular surface: exposure keratopathy < CORNEA/EXTERNAL DISEASE; ocular surface surgery < CORNEA/EXTERNAL DISEASE; tube shunts < GLAUCOMA |
| Entry Date(s): | Date Created: 20260413 Date Completed: 20260825 Latest Revision: 20260903 |
| Update Code: | 20260903 |
| DOI: | 10.1177/11206721261440422 |
| PMID: | 41973438 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1724-6016 |
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| DOI: | 10.1177/11206721261440422 |