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Abstract #18278 Published in IGR 3-3
Repair of a late-onset filtering bleb leak using a corneal graft shaped with an excimer laser
Mistlberger A; Biowski R; Grabner GOphthalmic Surgery and Lasers 2001; 32: 428-431
A new method for repairing an area of late scleral necrosis and bleb leak after glaucoma-filtering surgery using mitomycin C (MMC) is described. In a 33-year-old female patient, diagnosed with bilateral juvenile glaucoma, a bleb leak occurred 41 months after trabeculectomy with MMC in the left eye. A corneal stromal patch-graft shaped to the desired size using an excimer laser (excimer-laser-corneal-shaping-system, ELCS-S) was used to cover the scleral defect. This step was followed by water-tight closure of the conjunctiva. During the follow-up period of 12 months, the leak remained successfully repaired and the intraocular pressure stayed between 8 and 14 mmHg without medication. This technique, which uses lamellar grafts of a very large size, should be considered when a surgical repair of a large leaking bleb is required, especially in cases with scleral tissue necrosis.
Dr A. Mistlberger, Department of Ophthalmology, County Hospital Salzburg, Landesklinik Salzburg, St J-Spital, Müllner Hauptstrasse 48, 5020 Salzburg, Austria. amistlberger@aon.at
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
