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Past Issue Volume 2, Numbers 1, 2, 2000
Surgical Management of Late Leaking Blebs

GC Sekhar
VST Centre for Glaucoma Care, LV Prasad Eye Institute, Hyderabad, India

Six eyes of 6 patients who underwent surgical repair of leaking blebs following filtering surgery for glaucoma were retrospectively analysed. The conjunctiva could be mobilised in all cases with a fornix-based conjunctival flap, obviating the need for a graft. The scleral defect closure involved direct suturing in 2 patients, seleral rotational flap in 2, donor seleral patch graft in 1, and autologous fascia lata graft in 1. Only 1 patient required additional procedures to achieve closure of the leak. With a mean follow-up of 23 months (range 2 - 42 months), the intraocular pressure control was maintained in all except 1 patient. Adequate mobilisation of the conjunctiva and appropriate closure of the scleral defect are essential in the repair of leaking blebs.

Key Words: Bleb leak; Fascia lata graft; Mitomycin-C; Scleral patch graft; Scleral rotational flap.

Asian J Ophthalmol 2000;2(1,2):10-13.

 

 
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