title: [Repair of a leaking bleb filtration with conjunctival and amniotic membrane transplantation].
abstract: METHODS
  A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomy performed 13 years ago. To construct a new filtering bleb, the necrotic area was fully excised. The amniotic membrane was inserted over the scleral flap underneath healthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye was sutured and was sealed with fibrin adhesive.
  
  
  CONCLUSIONS
  We propose a new surgical technique to repair late leak failures after trabeculectomy with mitomycin C in blebs with a large avascular area. Transplantation of amniotic membrane and conjunctival autograft may be used to repair late leak failures with inadequate conjunctiva to advance.
authors.affiliation: Hospital Universitario San Cecilio, Granada, España. jopalace@hotmail.com
authors.forename: J L
authors.initials: JL
authors.lastname: García-Serrano
authors.forename: P
authors.initials: P
authors.lastname: García-Robles
authors.forename: C
authors.initials: C
authors.lastname: Sánchez-Merino
authors.forename: J J
authors.initials: JJ
authors.lastname: Rodríguez-Escobar
mesh_terms: D000368:Aged; D000650:Amnion / Q000637:transplantation*; D003228:Conjunctiva / Q000637:transplantation*; D005260:Female; D015718:Fibrin Tissue Adhesive; D006801:Humans; D019654:Lens Implantation, Intraocular; D016685:Mitomycin / Q000009:adverse effects* / Q000627:therapeutic use; D015422:Scleral Diseases / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects*; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous; D014945:Wound Healing
chemical_list: D015718:Fibrin Tissue Adhesive; D016685:Mitomycin