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[Needle revision of late failing filtering blebs after glaucoma surgery].

AbstractPURPOSE:
To evaluate the results of bleb needling in eyes subjected to filtering surgery six months or more previously.
METHODS:
A retrospective study of 23 eyes in 21 patients subjected to bleb needling performed by means of a 25G needle, 6 months to 23 years after failed filtering surgery (mean 67.3 months). The mean number of bleb needlings was 1.2 and the mean number of 5-fluorouracil subconjunctival injections was 3.9.
RESULTS:
The mean intraocular pressure (IOP) before needling was 26 mmHg and the mean anti-glaucoma medications was 1.3 per eye. The mean postoperative IOP was 16.3 mmHg and mean anti-glaucoma medications 0.7. A diffuse filtering bleb was evident in 12 eyes (54.5%). The results of needling were worse in eyes subjected to previous surgery for glaucoma or other failed bleb needling procedures (75% failure).
CONCLUSION:
Needle revision of the filtering bleb is a simple and safe technique that offers good results even years after a filtering surgery had been performed. It should be considered before other medical or surgical treatments in patients with a previously functioning bleb and a permeable sclerectomy site at gonioscopy.
AuthorsS Perucho-Martínez, E Gutiérrez-Díaz, M Montero-Rodríguez, E Mencía-Gutiérrez, M D Lago-Llinás
JournalArchivos de la Sociedad Espanola de Oftalmologia (Arch Soc Esp Oftalmol) Vol. 81 Issue 9 Pg. 517-22 (Sep 2006) ISSN: 0365-6691 [Print] Spain
Vernacular TitleRepermeabilización mediante revisión con aguja de ampollas de filtración con fracaso tardío tras cirugía de glaucoma.
PMID17016783 (Publication Type: Comparative Study, English Abstract, Journal Article)
Chemical References
  • Immunosuppressive Agents
  • Fluorouracil
Topics
  • Aged
  • Aged, 80 and over
  • Female
  • Filtering Surgery
  • Fluorouracil (administration & dosage)
  • Glaucoma (surgery)
  • Humans
  • Immunosuppressive Agents (administration & dosage)
  • Injections
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Postoperative Complications
  • Reoperation
  • Retrospective Studies
  • Treatment Failure
  • Treatment Outcome

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