Combination of autologous blood injection and bleb compression sutures to treat hypotony maculopathy.
OBJECTIVE
To report successful use of a combination of autologous blood injection and bleb compression sutures to treat overfiltration with hypotony maculopathy after trabeculectomy with mitomycin C.


METHODS
Two patients underwent the combined procedure and were followed until visual acuity and intraocular pressure (IOP) were stable over three consecutive visits (4 to 9 months).


RESULTS
Both patients experienced improvement in visual acuity both subjectively and objectively, and both patients had an elevation in IOP that persisted over three consecutive visits.


CONCLUSIONS
Combination autologous blood injection and bleb compression suture placement may be an effective means of treating hypotony maculopathy after trabeculectomy with mitomycin C.
Haynes
W L
WL
Asheville Eye Medical and Surgical Associates, Iowa, USA.
Alward
W L
WL
D000368:Aged; D000369:Aged, 80 and over; D000477:Alkylating Agents / Q000008:administration & dosage; D001769:Blood; D003131:Combined Modality Therapy; D005260:Female; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007267:Injections; D007429:Intraocular Pressure; D008266:Macula Lutea; D008297:Male; D016685:Mitomycin / Q000008:administration & dosage; D015814:Ocular Hypotension / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D012164:Retinal Diseases / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects; D016896:Treatment Outcome
D000477:Alkylating Agents; D016685:Mitomycin