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Abstract #8627 Published in IGR 5-1
Filtering bleb revision. Techniques and outcome
Dintelmann T; Lieb WE; Grehn FOphthalmologe 2002; 99: 917-921
BACKGROUND: The surgical management and outcome of bleb-related complications such as leaking blebs, overfiltration, and blebitis are reported. METHODS: A retrospective analysis was carried out on 35 patients who underwent surgical repair of the filtering bleb in the authors' hospital between 1991 and 2000. RESULTS: Surgical techniques used were autologous blood injection, fibrin glue injection, conjunctival suturing, resuturing of the trabeculectomy flap, bleb excision, conjunctival advancement, lyodura, and tenon patching. In the eyes with leaking blebs the mean preoperative intraocular pressure (IOP) was 11.6 ± 10.3 mmHg. After an average follow-up of 12 months, IOP was 11.9 ± 3.3 mmHg. In the eyes with overfiltration, mean IOP was 2.4 ± 1.5 mmHg, and after an average follow-up of 18 months, mean IOP increased to 13.5 ± 3.7 mmHg. In 77.1%, IOP was regulated between 8 and 21 mmHg without glaucoma medication. Mean visual acuity improved by 3.6 ± 5.9 lines postoperatively. CONCLUSIONS: Surgical bleb revision has a high success rate with regard to maintaining a functioning filtering bleb and to preserving vision.LA: German
Dr. T. Dintelmann, Universitats-Augenklinik Wurzburg, Germany. TanjaDintelmann@gmx.de
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
