TITLE: Analysis of bleb morphology after trabeculectomy with anterior segment optical coherence tomography. PURPOSE: To describe the use of Anterior segment optical coherence tomography (AS OCT ) in imaging of trabeculectomy bleb to find out the morphology and internal structure, and correlate its internal characteristics with the function of the bleb. METHODS: Observational case-series study.6...

purpose : to evaluate usefulness of anterior segment optical coherence tomography (as-oct) in evaluation of filtering bleb functionality and to correlate its findings with clinical bleb examination methods : in this cross-sectional, descriptive study 55 eyes with apparently functional bleb were evaluated. following a comprehensive ophthalmic examination, filtering bleb grading was performed bas...

PURPOSE To evaluate the results of bleb needling in eyes subjected to filtering surgery six months or more previously. METHODS A retrospective study of 23 eyes in 21 patients subjected to bleb needling performed by means of a 25G needle, 6 months to 23 years after failed filtering surgery (mean 67.3 months). The mean number of bleb needlings was 1.2 and the mean number of 5-fluorouracil subco...

PURPOSE OF REVIEW To present a review of the current literature regarding the management of glaucoma-filtering bleb infections. RECENT FINDINGS With the increased use of intraoperative antifibrotic (eg, mitomycin and fluorouracil) as an adjunct to standard trabeculectomy, an increased incidence is seen of late-onset filtering bleb-related infections. These infections range from infections loc...

PURPOSE To study the ocular surface in filtering blebs using impression cytology, comparing the bleb side and areas outside the bleb edges. METHODS Twelve filtering blebs of 8 patients were included: 4 cases of trabeculectomy without mitomycin C (MMC), 6 cases of trabeculectomy with MMC, and 2 cases of non-penetrating glaucoma surgery. Impression cytology specimens were taken from filtering b...

PURPOSE To report the occurrence of endophthalmitis after trabeculectomy for glaucoma that was treated by vitrectomy without bleb closure and recurred 3 times after an initial clinically inapparent period of about 2 years. METHODS Interventional case report and short review of the pertinent literature. RESULTS A 73-year-old Caucasian female underwent trabeculectomy (without mitomycin) for g...

Aim: To evaluate the influence of clear cornea phacoemulsification on filtering bleb morphology, function, and intraocular pressure (IOP) in glaucomatous eyes with previously successful filtering surgery. Methods: The clinical course of 30 patients (30 eyes) who underwent clear cornea phacoemulsification after successful filtering glaucoma surgery was prospectively evaluated. Mean IOP and filte...

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. Outco...

Abetract. Successful glaucoma filtering surgery is characterized by the passage of aqueous humor from the anterior chamber to the subconjunctival space, which results in the formation of a filtering bleb. Aqueous in the subconjunctival space may then exit by multiple pathways. Bleb failure most often results from fibroblast proliferation and subconjunctival fibrosis. Factors associated with an ...