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Abstract #3685 Published in IGR 4-2
Surgical revision of filtration blebs: a follow-up study
Van de Geijn EJ; Lemij HG; De Vries J; De Waard PWTJournal of Glaucoma 2002; 11: 300-305
PURPOSE: To assess the clinical outcome of one technique for surgical revision of filtration blebs in terms of bleb function and intraocular pressure (IOP) control. METHODS: Retrospective analysis of 36 consecutive cases of leaking, overfiltrating, or oversized blebs treated with bleb excision and conjunctiva and tenon advancement in a glaucoma referral center between January 1991 and December 1999. Surgical success was defined as a final IOP between 6 and 22 mmHg with or without topical antiglaucoma medication, resolution of the bleb leak, hypotony maculopathy and symptoms, and no need for repeat glaucoma surgery. RESULTS: With a minimum of 12 months and an average of 29.5 months of follow-up, the overall success rate was 86.1%, with 51.6% of patients not requiring medication. In the success group, mean (SD) IOP was 23.7 (5.9) mmHg before the original trabeculectomy, 4.3 (3.7) mmHg prior to revision surgery, and 13.5 (SD 3.8) mmHg at the last follow-up visit after the revision surgery. Mean number of antiglaucoma medications was 2.1 (range, 1-4) before the original trabeculectomy, none before the revision surgery, and 0.8 (range, 0-3) at the last follow-up visit. CONCLUSIONS: The surgical revision technique offers a definitive solution for most of these bleb complications and satisfactory IOP control in the majority of patients.
Dr. P.W.T. De Waard, Glaucoma Service, The Rotterdam Eye Hospital, Schiedamsevest 180, P.O. Box 180, 3000 LM Rotterdam, the Netherlands
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
