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Date Published: 17/06/2022
Abstract Views: 221
Views PDF: 260
DOI: https://doi.org/10.51298/vmj.v513i2.2441
Issue
Vol. 513 No. 2 (2022)
Section
Các bài báo
How to Cite
Thị Thuý Giang, N. . (2022). MANAGEMENT OF BLEB LEAKS FOLLOWING TRABECULECTOMY BY NEEDLE REVISION AND LOCAL AUTOLOGOUS BLOOD. Vietnam Medical Journal, 513(2). https://doi.org/10.51298/vmj.v513i2.2441

MANAGEMENT OF BLEB LEAKS FOLLOWING TRABECULECTOMY BY NEEDLE REVISION AND LOCAL AUTOLOGOUS BLOOD

Nguyễn Thị Thuý Giang1,
1 Central Eye Hospital

Main Article Content

Abstract

Purpose: to evaluate the effectiveness of needle revision combined with local autologous blood in the treatment of early and late bleb leaks following trabeculectomy. Methods: a prospective study. Results: 5 bleb leak eyes, including 4 early leaks and 1 late leak, which failed with conservative treatments, and soft contact lens bandages were treated by needle revision and local autologous blood. All leak eyes were closed and stabilized over the follow-up time and further. Intraocular pressure and visual acuity of all subjects were comparable to before needling. No complications, including flat anterior chamber, choroidal effusion, hyphema, and bleb perforation, were recorded. Conclusion: Needle revision combined with local autologous blood was a simple technique with high effectiveness in treating early and late bleb leaks. It should be considered as a treatment of choice before attempting surgical interventions. 

Article Details

References

1. Koike KJ, Chang PT. Trabeculectomy: A Brief History and Review of Current Trends. Int Ophthalmol Clin. 2018;58(3):117-133. doi:10.1097/ IIO.0000000000000231
2. Belyea DA, Dan JA, Stamper RL, Lieberman MF, Spencer WH. Late onset of sequential multifocal bleb leaks after glaucoma filtration surgery with 5-fluorouracil and mitomycin C. Am J Ophthalmol. 1997;124(1):40-45. doi:10.1016/s0002-9394(14)71642-3
3. Mb S, Mw S, Cm S, Rb S. Clinical and histopathologic observations concerning hypotony after trabeculectomy with adjunctive mitomycin C. American journal of ophthalmology. 1993;116(6). doi:10.1016/s0002-9394(14)73465-8
4. Ares C, Kasner OP. Bleb needle redirection for the treatment of early postoperative trabeculectomy leaks: a novel approach. Can J Ophthalmol. 2008;43(2):225-228. doi:10.3129/i08-008
5. Maeda H, Eno A, Nakamura M, Negi A. Safe management of a late-onset bleb leak with a needling technique. Eye (Lond). 2000;14 Pt 5:802-804. doi:10.1038/eye.2000.217
6. Rauscher FM, Barton K, Budenz DL, Feuer WJ, Tseng SCG. Long-term outcomes of amniotic membrane transplantation for repair of leaking glaucoma filtering blebs. Am J Ophthalmol. 2007;143(6):1052-1054. doi:10.1016/j.ajo.2007.01.016
7. Smith MF, Magauran RG, Betchkal J, Doyle JW. Treatment of postfiltration bleb leaks with autologous blood. Ophthalmology. 1995;102(6): 868-871. doi:10.1016/s0161-6420(95)30941-4
8. Maeda H, Eno A, Nakamura M, Negi A. Safe management of a late-onset bleb leak with a needling technique. Eye (Lond). 2000;14 Pt 5:802-804. doi:10.1038/eye.2000.217
9. McGruder JM, Cooke JE, Conroy JM, Baker JD. Headache after lumbar puncture: review of the epidural blood patch. South Med J. 1988; 81(10): 1249-1252. doi:10.1097/00007611-198810000-00012