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Surgical reduction of symptomatic, circumferential, filtering blebs
Sarah Anis1, Robert Ritch, Wisam Shihadeh
1Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY 10003, USA.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 14, 2006
Summary
Surgical reduction effectively treats symptomatic filtering blebs after glaucoma surgery, relieving discomfort and improving appearance without compromising eye pressure control.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Ophthalmic Surgery
Background:
- Filtering blebs can cause symptomatic complications after trabeculectomy.
- These complications, such as bleb dysesthesia, negatively impact patient quality of life.
Purpose of the Study:
- To describe the methods and outcomes of surgical reduction for symptomatic, circumferential filtering blebs.
- To evaluate the safety and efficacy of this procedure in relieving symptoms and maintaining bleb function.
Main Methods:
- Review of medical records for 15 eyes of 14 patients undergoing surgical bleb reduction.
- Procedure involved segmental incision of the bleb and suturing conjunctiva/Tenon capsule to sclera under topical anesthesia.
Main Results:
- Successful bleb size reduction and symptomatic relief in 14 out of 15 eyes.
- Cosmetically acceptable outcomes achieved in most cases.
- One eye had persistent dysesthesia; one had a transient bleb leak that resolved spontaneously.
Conclusions:
- Surgical reduction is a safe and effective method for managing symptomatic, circumferential filtering blebs.
- The technique alleviates bleb dysesthesia and improves cosmesis while preserving bleb function and intraocular pressure control.
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