Needling for encapsulated trabeculectomy filtering blebs

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[Updating the treatment of encapsulated blebs following trabeculectomy].

t present, a large number of surgical techniques have been eveloped for glaucoma surgery in the quest for less invaive approaches and more predictable outcomes. However, onventional trabeculectomy continues to be the surgery of hoice for treating glaucoma neuropathy. It aims at reducing ntraocular pressure (IOP) by creating a drainage or fistula that acilitates the exit of the aqueoushumor from...

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Needling revision with subconjunctival 5-fluorouracil in failing filtering blebs.

BACKGROUND 5-Fluorouracil, an antimetabolic agent, improves the success rate of trabeculectomies by inhibiting subconjunctival fibrosis. However, complications may be associated with early postoperative use. We investigated the outcome of needling revision with delayed subconjunctival 5-fluorouracil in failing filtering blebs after a trabeculectomy in patients with medically poorly controlled g...

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Augmentation of Filtering Blebs with Viscoelastics in Trabeculectomy

PURPOSE To evaluate the clinical outcome of viscoelastics (VE, sodium hyaluronate)-augmented trabeculectomy (VAT, 66 eyes) and conventional trabeculectomy (CT, 57 eyes) for glaucomatous eyes. METHODS In the VAT group, half of the anterior chamber space was filled with VE via the paracentesis site at the end of CT and a balanced salt solution was injected into the anterior chamber. This proced...

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Revision of encapsulated blebs after trabeculectomy: Long-term comparison of standard bleb needling and modified needling procedure combined with transconjunctival scleral flap sutures

PURPOSE To compare two surgical approaches for treating encapsulated blebs after trabeculectomy with mitomycin C, in terms of the development of intraocular pressure and progression of glaucoma in a long-term follow up: 1. bleb needling alone vs. 2. a combined approach of needling with additional transconjunctival scleral flap sutures, to prevent early ocular hypotony. METHODS Forty-six patie...

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Bleb needling outcomes for failed trabeculectomy blebs in Asian eyes: a 2-year follow up.

AIM To describe the outcomes of bleb needling in primary glaucoma in an Asian tertiary eye centre over a 2y period. To compare the success rates between primary angle-closure glaucoma (PACG) and primary open angle glaucoma (POAG). Lastly, to identify factors associated with success of bleb needling. METHODS This was a retrospective review of 227 patients who underwent bleb needling between Ju...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2012

ISSN: 1465-1858

DOI: 10.1002/14651858.cd003658.pub3