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Abstract #15867 Published in IGR 2-3
Autologous conjunctival resurfacing of leaking filtering blebs
Harris LD; Yang G; Feldman RM; Fellman RL; Starita RJ; Lynn J; Chuang AZOphthalmology 2000; 107: 1675-1680
PURPOSE: To present a case series of a new technique to repair late bleb leaks. DESIGN: Retrospective, noncomparative, consecutive case series. PARTICIPANTS: Forty-seven autologous conjunctival resurfacings of late bleb leaks were performed by four surgeons at two institutions. METHODS: Autologous conjunctival grafts were placed over existing de-epithelialized leaking blebs. MAIN OUTCOME MEASURES: Leak-free, Seidel-negative blebs and controlled glaucoma. RESULTS: After a mean follow-up of 14 ± 12 months, one patient continued to have bleb leak at the last follow-up, and one frank leak resolved with aqueous suppression. Intraocular pressure increased from 6.6 ± 4.4 mmHg (0.13 glaucoma medications) to 11.9 ± 4.1 mmHg (0.41 glaucoma medications). CONCLUSIONS: Conjunctival resurfacing with autologous tissue is an effective technique to repair late bleb leaks.
Dr. L.D. Harris, Hermann Eye Center, University of Texas Health Sciences Center at Houston, Houston, TX, USA
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)