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The authors reconstructed the late-onset leaking bleb in two eyes by transplanting amniotic membrane. One case was a 77-year-old female, the other a 60-year-old male. Both had received trabeculectomy with mitomycin C for glaucoma in one eye each. After surgery, thin and avascular bleb had formed with blebitis and leakage of the aqueous. Conservative treatments and intrableb injection of blood were futile. Seventeen months after surgery, both cases received transplantation of amniotic membrane covering the filtering bleb. The amniotic membrane was placed with its epithelium outside in one eye and inside in the other. After this procedure, the filtering bleb was formed with no leakage and with well-maintained intraocular pressure. Transplantation of amniotic membrane was thus useful in preventing leakage and in maintaining the filtering bleb. LA: Japanese
Dr. H. Mukuno, Department of Organ Therapeutics, Division of Ophthalmology, Kobe University Graduate School of Medicine, 7-5-2 Kobe-shi, Kusunoki-cho 650-0017, Japan
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)