Conjunctival advancement with subconjunctival amniotic membrane draping technique for leaking cystic blebs

Pooja Sethi, Raj N. Patel, Raquel Goldhardt, Ramesh S. Ayyala

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Purpose: To describe the successful use of a technique involving amniotic membrane graft for the repair of leaking cystic blebs following mitomycin C (MMC) trabeculectomy. Patients and Methods: A retrospective review of 17 eyes of 16 patients who had undergone trabeculectomy with MMC or combined cataract phacoemulsification and trabeculectomy with MMC and presented with leaky cystic blebs with or without hypotony was conducted. All patients were treated with amniotic membrane graft over the leaking area with conjunctival advancement without excision of the cystic bleb and had a minimum of 1-year follow-up. Success was defined as a final intraocular pressure (IOP) ≥6 and ≤21mm Hg without glaucoma medications. Qualified success that met the above criteria, however, required the use of glaucoma medication for optimal IOP control. Failure was defined as any patient with persistent bleb leak requiring additional procedures and/or the presence of hypotony (IOP

Original languageEnglish (US)
Pages (from-to)188-192
Number of pages5
JournalJournal of Glaucoma
Volume25
Issue number2
DOIs
StatePublished - Jan 28 2016
Externally publishedYes

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Keywords

  • Amniotic membrane
  • Bleb leak
  • Bleb revision
  • Glaucoma

ASJC Scopus subject areas

  • Ophthalmology

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