title: Combined conjunctival relieving incisions and advancement for the repair of late-onset leaking trabeculectomy blebs.
abstract: OBJECTIVE
  To describe a surgical technique for the repair of late-onset leaking blebs.
  
  
  METHODS
  A surgical technique is described followed by a retrospective review of 5 clinical cases. All patients had a minimum of 12 months follow up.
  
  
  RESULTS
  In all cases the leaks were successfully closed and bleb function was maintained. Of 5 patients, 3 required subsequent topical glaucoma medication though none required further drainage surgery. The mean intraocular pressure at last follow up was 16 mm Hg (range 10 to 27 mm Hg).
  
  
  CONCLUSIONS
  This technique can be considered as an option for patients who require surgical revision for a leaking trabeculectomy bleb.
authors.affiliation: Bristol Eye Hospital, Lower Maudlin Street, Bristol, UK.
authors.forename: Narelle A
authors.initials: NA
authors.lastname: Spencer
authors.forename: Cheryl
authors.initials: C
authors.lastname: Lee
authors.forename: Jeremy P
authors.initials: JP
authors.lastname: Diamond
mesh_terms: D000328:Adult; D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D012086:Reoperation; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D014129:Trabecular Meshwork / Q000601:surgery*; D014130:Trabeculectomy; D014792:Visual Acuity