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Management of leaking filtration blebs
C P Tomlinson1, C D Belcher, P D Smith
1New England Glaucoma Research Foundation, Boston, MA 02114.
Annals of Ophthalmology
|November 1, 1987
Summary
Postoperative leaking filtration blebs after glaucoma surgery can be managed with various techniques. Surgical repair, anterior chamber reformation, or conservative management effectively addressed leaks in 11 patients.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
Background:
- Filtering surgery for glaucoma can lead to postoperative complications.
- Leaking filtration blebs are a known complication following glaucoma filtering surgery.
Purpose of the Study:
- To describe the management and outcomes of 11 patients who developed leaking filtration blebs postoperatively.
- To evaluate the effectiveness of different treatment strategies for leaking filtration blebs.
Main Methods:
- Retrospective review of 11 patients with leaking filtration blebs after filtering surgery.
- Interventions included conjunctival suturing, anterior chamber reformation with choroidal tap, glaucoma shell tamponade, and conservative therapy (antibiotics, medication, patching).
Main Results:
- Three patients underwent conjunctival suturing.
- Two patients required anterior chamber reformation and choroidal tap, resulting in spontaneous leak sealing.
- Two patients had anterior chamber reformation using glaucoma shell tamponade.
- Four patients were managed conservatively with antibiotics, glaucoma medication, and observation.
- Observed complications included iritis, bleb infection, flat anterior chamber, and insufficient aqueous humor outflow.
Conclusions:
- Leaking filtration blebs can be successfully managed through surgical repair, anterior chamber reformation, or conservative measures.
- Anterior chamber reformation techniques, including glaucoma shell tamponade, were effective in resolving shallow anterior chambers.
- Conservative management is a viable option for certain cases of leaking filtration blebs.