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Management of persistent filtering cicatrix following cataract extraction
Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 1, 1977
Summary
This study presents a safe surgical technique for persistent filtering cicatrices after cataract surgery. The method involves excising the cicatrix and covering the fistula with a conjunctival flap, showing high success rates.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Glaucoma Management
Background:
- Persistent filtering cicatrices can develop after cataract extraction, potentially leading to complications.
- These cicatrices can compromise the integrity of the filtration bleb, necessitating intervention.
Purpose of the Study:
- To evaluate the efficacy and safety of a surgical technique for managing persistent filtering cicatrices post-cataract extraction.
- To describe a novel approach for repairing fistulas associated with these cicatrices.
Main Methods:
- A surgical technique involving complete excision of the edematous, friable filtering cicatrix.
- Suturing a healthy fornix-based conjunctival flap over the resulting fistula.
- Application of the technique to 27 eyes with persistent filtering cicatrices.
Main Results:
- The surgical technique demonstrated a high success rate in managing persistent filtering cicatrices.
- Two out of 27 treated eyes experienced treatment failure.
- No other surgical complications were reported in the series.
Conclusions:
- The described surgical technique is a safe and effective method for managing persistent filtering cicatrices after cataract surgery.
- This approach offers a reliable solution for repairing small fistulas associated with these cicatrices.
- The procedure is associated with minimal complications, highlighting its favorable safety profile.