BACKGROUND AND OBJECTIVE: In the postoperative course of trabeculectom
y, hypotony may cause choroidal detachment with shallowing of the ante
rior chamber. If conservative medical treatment fails, a surgical revi
sion may become necessary. To achieve only a temporary seal of the scl
eral flap, a sub-conjunctival tamponade with fibrin glue was performed
. PATIENTS AND METHODS: Two patients with corneal decompensation as a
result of cornea-lens contact complicating hypotony with massive choro
idal detachment are described. Hypotony occurred after trabeculectomy
in one case and after combined cataract and glaucoma surgery in anothe
r case, and was not correlated to a leaking bleb. Temporary tamponade
of the scleral flap was achieved by subconjunctival injection of fibri
n sealant. RESULTS: After the fibrin sealant was applied, the choroida
l detachment resolved and intraocular pressure increased to normal. Du
ring the follow-up period of 6 months, a functioning bleb developed. C
ONCLUSION: Subconjunctival application of fibrin sealant is effective
for temporary closure of the scleral flap after trabeculectomy in eyes
with massive hypotony syndrome.