Sutureless revision of overhanging filtering blebs.
نویسندگان
چکیده
We describe methods and outcomes of a technique for sutureless surgical revision of symptomatic corneal overhanging filtering blebs after trabeculectomy using mitomycin in 6 eyes in 6 patients. Separation of the bleb from the corneal surface was achieved by blunt or sharp dissection, as necessary, and the overhanging portion of the bleb was excised and a bandage contact lens was inserted. Outcome measures included symptomatic relief, retention of bleb function, and maintenance of intraocular pressure. Five eyes (83.3%) demonstrated symptomatic relief and a cosmetically acceptable appearance. One patient continued to have dysesthesia, and 1 patient had bleb leak that required suture repair. Sutureless surgical revision of overhanging filtering blebs is a safe and effective technique to reduce bleb-related dysesthesia and improve cosmesis without compromising filtration function.
منابع مشابه
Histopathology and treatment of a huge overhanging filtering bleb
BACKGROUND The giant filtering bleb encroaching onto the corneal surface is a rare occurrence in our and other's clinical experience (Kapoor and Syed, Int. Ophthalmol 31(5):403-404, 2011), even in patients having had a trabeculectomy with mitomycin C, and how it developed is debated. In this paper, we report a patient who developed a huge overhanging filtering bleb after trabeculectomy, and pre...
متن کاملNeedling 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...
متن کاملBlunt needle revision with viscoelastic materials via the anterior chamber for early failed filtering blebs after trabeculectomy
PURPOSE To report a new technique of blunt needle revision with viscoelastic materials via the anterior chamber for the treatment of early failed filtering blebs and elevated intraocular pressure after trabeculectomy, in which digital ocular massage and laser suture lysis have been ineffective. METHODS A 27-gauge blunt needle attached to a syringe containing viscoelastic material was inserted...
متن کاملThe relationship of bleb morphology and the outcome of needle revision with 5-fluorouracil in failing filtering bleb
To investigate the risk factors for failure of needling revision with 5-fluorouracil (5-FU) and to identify the correlation of outcomes of needling revision and the morphological features of dysfunctional filtration blebs using Moorfields bleb grading system.This retrospective, nonrandomized, comparative case-control study included 41 consecutive patients (41 eyes) who underwent 5-FU needling r...
متن کاملEffectiveness of Needling Revision with Mitomycin-C for Failing Blebs
Filtering procedures remain the most popular surgical option for controlling intraocular pressure (IOP) in medically refractory glaucoma. Incorporation of adjunctive anti fibrotic treatment has enhanced IOP control and prolonged filtering efficacy [1-3], but for various reasons some blebs are prone to failure many months or years later. Sometimes that failure may take the form of hyperfiltratio...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of ophthalmology
دوره 124 9 شماره
صفحات -
تاریخ انتشار 2006