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Abstract #15592 Published in IGR 1-3
Treatment of hyperfiltering blebs with Nd:YAG laser-induced subconjunctival bleeding
Bettin P; Carassa RG; Fiori M; Brancato RJournal of Glaucoma 1999; 8: 380-383
PURPOSE: To assess the feasibility of a new technique to manage hyperfiltering blebs after penetrating glaucoma surgery. METHODS: Nd:YAG laser bursts were used to induce bleeding in conjunctival and episcleral vessels in the bleb area to achieve local delivery of autologous blood. RESULTS: In the three cases reported here in which this technique was used, the treatment was successful and safe, leading to resolution of hypotony and reduction of the bleb, with no complications. CONCLUSIONS: Subconjunctival bleeding can be achieved using the Nd:YAG laser, and can represent a valuable alternative to autologous blood injection in cases of hyperfiltration after glaucoma surgery.
Dr. Paolo Bettin, Department of Ophthalmology and Visual Sciences, University of Milano, H.S. Raffaele, Via Olgettina 60, 20132 Milano; Italy
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
