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Top-Four of the South-Africa Glaucoma Society Meeting
May 25-27, 2012, Protea Hotel Kruger Gate, Skukuza, Mpumalanga
Ellen Ancker
- Management of late bleb leaks with a hinged partial thickness scleral flap and conjunctional advancement effectively sealed the bleb leak. (Jitem Mistry, Johannesburg)
- The author used a lyoplant successfully after a late onset bleb leak. (D.J.L. Coetzee, University of the Free State)
- A home nebulizer using ipratropium bromide induced a unilateral angle closure glaucoma. The mist had contact with the left eye causing a pressure of 40 mmHg. The author suggests correct mask fitting, T-piece, unvented masks, protective eye wear or closed eyes if none of the above is available. (J. van Rensburg, Stellenbosch)
- Encapsulation is an early complication in young patients leading to inhibition of fluid drainage. It can be successfully treated with surgical excision. The author reports of 20 complicated glaucoma cases done in 2009. Thirty percent developed encysted blebs within six months after surgery. The Ahmed implant was used which is known to develop encysted blebs due to its rough surface. The author suggests early MMC needling or surgical bleb excision improving the drainage and lowering IOP. (N. Du Toit, Cape Town)
