| Late bleb leak management with trabeculectomy shutdown, Baerveldt glaucoma device implantation, and titratable tube lumen size. | |
| | |
MedLine Citation:
|
PMID: 20436369 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
PURPOSE: To report a case of late subconjunctival bleb leak, and its management to preserve vision and achieve optimal pressure control in a patient with advanced glaucoma, a 3+ Seidel positive bleb leak, and hypotony maculopathy in the better-seeing eye. DESIGN: Case Report. METHODS: Shutdown of the earlier trabeculectomy site with a scleral graft was achieved before insertion of a 250-mm Baerveldt glaucoma device. An absorbable ligature was used around the tube to prevent early postoperative hypotony. Additional pressure control was obtained by using a permanent polypropylene ligature to decrease the effective lumen size after the resorbence of the vicryl ligature. This suture was left in a location that would be accessible to laser suture-lysis, or manual removal if necessary. RESULTS: Intraocular pressure at 1 year postoperatively was 13 mm Hg on no medications with resolution of the macular folds and 3 lines of improvement of Snellen corrected distance visual acuity. The leak was completely resolved. CONCLUSION: Excellent pressure control was achieved in the surgical management of a late onset bleb leak by shutting down the old trabeculectomy, and inserting a new Baerveldt tube shunt with an adjustable lumen size. |
| | |
Authors:
|
Garfield Miller; Diamond Y Tam; Iqbal Ike K Ahmed |
Related Documents
:
|
3186179 - Intraocular pressure response after pneumatic retinopexy. 11912359 - Twelve-month evaluation of brimonidine-purite versus brimonidine in patients with glauc... 8534439 - Screening for glaucoma in a brisbane general practice--the role of tonometry. 3631209 - Changes in corneal topography and tear film stability due to a single meibomian cyst. 655539 - Introduction of the ocusert ocular system to an ophthalmic practice. 1928249 - Marked intraocular pressure response to instillation of corticosteroids in children. 10359169 - Diltiazem reduces pulmonary arterial pressures in recurrent pulmonary hypertension asso... 16234949 - Gravity-induced reorientation of the interface between two liquids of different densiti... 19775299 - Endothelin receptor antagonists for pulmonary hypertension in adult patients with sickl... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of glaucoma Volume: 20 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2010-12-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
|
Languages: eng Pagination: 51-6 Citation Subset: IM |
Affiliation:
|
Department of Ophthalmology and Vision Sciences Toronto, University of Toronto, Ontario, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The association between diurnal variation of optic nerve head topography and intraocular pressure an...
Next Document: Detection of glaucoma by spectral domain-scanning laser ophthalmoscopy/optical coherence tomography ...