Wound healing in glaucoma filtering surgery

Gregory L. Skuta, Richard K. Parrish

Research output: Contribution to journalReview article

485 Scopus citations

Abstract

Successful glaucoma filtering surgery is characterized by the passage of aqueous humor from the anterior chamber to the subconjunctival space, which results in the formation of a filtering bleb. Aqueous in the subconjunctival space may then exit by multiple pathways. Bled failure most often results from fibroblast proliferation and subconjunctival fibrosis. Factors associated with an increased risk of bleb failure include youth, aphakia, active anterior segment neovascularization, inflammation, previously failed glaucoma filtering surgery, and, possibly, race. Several surgical and pharmacologic techniques have recently been introduced to enhance success in eyes with poor surgical prognoses. To elucidate the scientific rationale of these methods, we summarize the process of wound healing after glaucoma filtering surgery and describe postoperative clinical and histopathologic features, factors which may affect success, and specific methods to improve surgical success.

Original languageEnglish (US)
Pages (from-to)149-170
Number of pages22
JournalSurvey of Ophthalmology
Volume32
Issue number3
DOIs
StatePublished - Jan 1 1987

Keywords

  • bleb formation
  • fibroblast proliferation
  • filtering surgery
  • glaucoma
  • trabeculectomy
  • wound healing

ASJC Scopus subject areas

  • Ophthalmology

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