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Abstract #17128 Published in IGR 9-1
Needle revision of late failing filtering blebs after glaucoma surgery
Perucho-Martinez S; Gutierrez-Diaz E; Montero-Rodriguez M; Mencia-Gutierrez E; Lago-Llinas MDArchivos de la Sociedad Española de Oftalmologia 2006; 81: 517-522
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 subconjunctival injections was 3.9. RESULTS: The mean intraocular pressure (IOP) before needling was 26 mmHg and the mean anti-glaucoma medications was 1.3 per eye. The mean postoperative IOP was 16.3 mmHg and mean anti-glaucoma medications 0.7. A diffuse filtering bleb was evident in 12 eyes (54.5%). The results of needling were worse in eyes subjected to previous surgery for glaucoma or other failed bleb needling procedures (75% failure). CONCLUSION: Needle revision of the filtering bleb is a simple and safe technique that offers good results even years after a filtering surgery had been performed. It should be considered before other medical or surgical treatments in patients with a previously functioning bleb and a permeable sclerectomy site at gonioscopy. LA: Spanish
Dr. S. Perucho-Martinez, Servicio de Oftalmologia, Hospital Universitario 12 de Octubre, C/Cabo San Vicente 10, 28924 Madrid, Spain. sperucho@ya.com
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
