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Abstract #6564 Published in IGR 3-2
Downward extension of the lacrimal gland under the bulbar conjunctiva after trabeculectomy
Kambara C; Hashimoto T; Hayashi M; Yamagami SJournal of Glaucoma 2001; 10: 358-360
PURPOSE: To describe two cases in which the lacrimal gland was considered to extend downward under the bulbar conjunctiva following trabeculectomy. PATIENTS AND METHODS: The authors report two patients who complained of epiphora after trabeculectomy. A biopsy was performed on the tissue under the bulbar conjunctiva on the peripheral of the bleb of case 1. The anatomical relationship between the holes and the avascular filtering bleb in case 2 was investigated using ultrasound biomicroscopy. RESULTS: In case 1, a biopsy showed the lacrimal gland tissue filtrated with mononuclear cells. In case 2, ultrasound biomicroscopy revealed no connection between the multiple leaking holes and the localized filtering bleb. CONCLUSION: Following trabeculectomy at the superior temporal quadrant, downward extension of the lacrimal gland should be considered as a possible source of a patient's complaint of epiphora.
Dr S. Yamagami, Department of Ophthalmology, Hichi Medical School, 3311-1 Yakushiji, Minamikawachi-machi, Kawachi-gun, Tochigi 329-0498, Japan. yamagami@hichi.ac.jp
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)