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Large soft contact lenses in the management of leaking blebs
A Shoham1, Z Tessler, Y Finkelman
1Department of Ophthalmology, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Purpose:
To investigate the efficacy of a new large permanent wear soft contact lens in the management of leaking blebs following trabeculectomy.
Methods:
Twenty-four patients with leakage from a trabeculectomy bleb, both fornix based and limbal based, with and without mitomycin adjuvant, were treated with a 78% water content soft contact lens of 17.5 mm diameter, fit according to each patient's keratometry readings.
Results:
The leakage from a conjunctival trabeculectomy bleb was successfully treated in 22 out of 24 patients.
Conclusions:
The 17.5 mm 78% water content permanent wear soft contact lens is a preferred method of management of leaking blebs when specifically tailored to the patient's corneal curvature.