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[Management of encapsulated blebs after glaucoma drainage device surgery]
T Gracía García-Miguel1, E Gutiérrez Díaz, M Montero Rodríguez
1Servicio de Oftalmología del Hospital 12 de Octubre, Madrid, España.
Archivos De La Sociedad Espanola De Oftalmologia
|August 20, 2002
Summary
Subconjunctival 5-fluorouracil (5-FU) injections, with or without needling, effectively manage encapsulated blebs after glaucoma drainage device surgery, showing high success rates and minimal complications.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Ocular Inflammation
Context:
- Encapsulated blebs are a common complication following glaucoma drainage device surgery.
- Management options for encapsulated blebs are varied, with varying success rates.
- Glaucoma drainage devices aim to reduce intraocular pressure but can lead to bleb encapsulation.
Purpose:
- To analyze management options for encapsulated blebs post-glaucoma drainage device surgery.
- To evaluate the efficacy of subconjunctival 5-fluorouracil (5-FU) injections, with or without needling.
- To compare outcomes of 5-FU treatment versus conservative management.
Summary:
- A retrospective review of 20 eyes with encapsulated blebs was conducted.
- Treatments included topical corticosteroids, digital massage, subconjunctival 5-FU, needling, and capsule excision.
- Fifteen eyes achieved successful outcomes, with 80% success in the 5-FU group and 70% in the conservative group.
Impact:
- Subconjunctival 5-FU injections demonstrate a high success rate in managing encapsulated blebs.
- Adjunctive procedures like needling may be necessary for refractory cases.
- This approach offers a safe and effective strategy for a challenging complication in glaucoma surgery.
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