A surgical method to repair leaking filtering blebs.
Surgical revision of a chronically-thinned filtering bleb with a leak at the limbus is described. After surgical excision of the scarred cystic conjunctiva and Tenon's fascia surrounding the leaking bleb, relatively uninvolved conjunctiva and Tenon's fascia are mobilized with the help of a large relaxing incision in the superior fornix and sutured over the area of filtration. We have used this technique successfully in five cases to provide fresh tissue to repair the bleb leak and restore adequate filtration.
O'Connor
D J
DJ
Yale University School of Medicine, Department of Ophthalmology and Visual Science, New Haven, CT 06510.
Tressler
C S
CS
Caprioli
J
J
D003229:Conjunctival Diseases / Q000601:surgery; D003560:Cysts / Q000601:surgery; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods; D014130:Trabeculectomy