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Abstract #25884 Published in IGR 12-2
Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
Fukuchi T; Matsuda H; Ueda J; Yamada A; Suda K; Abe HClinical Ophthalmology 2010; 4: 197-202
Purpose: To report corneal lamellar grafting to repair the late-onset complications after MMC trabeculectomy. Methods: Multiple case reports. Results: A 76-year-old male with primary open-angle glaucoma (POAG) and a 55-year-old male with late developmental glaucoma complicated by bleb leaks from a microhole 10 and eight years after surgery, respectively. Severe ciliochoroidal detachment and a shallow anterior chamber were persistent in one case and bleb-related infection recurred in another. Addition-ally, a 46-year-old male with POAG had hypotony maculopathy with a giant ischemic bleb 18 months after surgery. Although these patients were quite resistant to medical and surgical treatments, they were successfully treated by corneal lamellar grafting without complications. Conclusions: Tectonic corneal lamellar grafting is a reliable and final surgical method to improve severe cases of hypotony maculopathy or bleb leak after mitomycin C trabeculectomy.
T. Fukuchi. Division of Ophthalmology and Visual science, Graduated school of Medical and Dental sciences, Niigata University, 1-757 Asahimachi, Niigata 951-8510, Japan. tfuku@med.niigata-u.ac.jp
Classification:
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
