Sutureless revision of overhanging filtering blebs.
We describe methods and outcomes of a technique for sutureless surgical revision of symptomatic corneal overhanging filtering blebs after trabeculectomy using mitomycin in 6 eyes in 6 patients. Separation of the bleb from the corneal surface was achieved by blunt or sharp dissection, as necessary, and the overhanging portion of the bleb was excised and a bandage contact lens was inserted. Outcome measures included symptomatic relief, retention of bleb function, and maintenance of intraocular pressure. Five eyes (83.3%) demonstrated symptomatic relief and a cosmetically acceptable appearance. One patient continued to have dysesthesia, and 1 patient had bleb leak that required suture repair. Sutureless surgical revision of overhanging filtering blebs is a safe and effective technique to reduce bleb-related dysesthesia and improve cosmesis without compromising filtration function.
Anis
Sarah
S
Department of Ophthalmology, The New York Eye and Ear Infirmary, 310 E. 14th Street, New York, NY 10003, USA.
Ritch
Robert
R
Shihadeh
Wisam
W
Liebmann
Jeffrey
J
D000368:Aged; D000369:Aged, 80 and over; D001768:Blister / Q000601:surgery*; D017889:Exfoliation Syndrome / Q000601:surgery; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D010292:Paresthesia / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects*; D014792:Visual Acuity