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...

AIM To determine outcomes of bleb excision and conjunctival advancement for leaking or hypotonous eyes after glaucoma filtering surgery. METHODS In a retrospective case series the medical records of all patients who underwent bleb excision and conjunctival advancement surgery for bleb leaks or hypotony (defined as IOP less than 6 mm Hg, associated with reduced vision) at the Jules Stein Eye I...

PURPOSE A simple needling procedure is the standard method for restoring the function of an encapsulated bleb after trabeculectomy. However, postoperative hypotony represents a possible hazard. This study describes a new surgical approach for treating encapsulated blebs with reduced risk of early postoperative hypotony: bleb needling combined with transconjunctival sutures tightening the sclera...

used as a substitute not only for epithelial cell proliferation, but also as a substrate for epithelial cells to attach to, and was transplanted permanently to repair a large intraoperative conjunctival defect and to form a filtering bleb. Meanwhile, an additional temporary AM transplantation was used to protect the primary AM transplantation until epithelialization was complete. Although repai...

B LEBS. SHALLOW CHAMBERS. Bleb leaks. Flat chambers. Dellen. Blebitis. No bleb. Late failure. Hypotony. Choroidal effusions. Maculopathy. Is there a better way? If the problem is in the meshwork, why do we cut a hole in the eye? Viscocanalostomy and deep sclerectomy are surgical procedures for glaucoma that have been designed to avoid some of the complications of conventional glaucoma surgery. ...

BACKGROUND Trabeculectomy remains the most efficient method of lowering he IOP applied for the treatment of glaucoma refractory to pharmacological treatment. Cataract is concerned as the most frequent late complication of trabeculectomy. The aim of the study was to analyse the effect of phacoemulsification with posterior chamber lens implantation on the morphology and function of filtering bleb...

PURPOSE Observations made during glaucoma filtering surgery (trabeculectomy) suggest variability in the thickness of the bulbar conjunctiva and Tenon's layers between individuals. We propose that this could infuence the final bleb morphology and function. We designed a pilot study to assess this using optical coherence tomography (OCT) to measure bulbar conjunctival and Tenon's layer thickness....