| Posterior Revision for Failed Blebs: Long-term Outcomes. | |
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MedLine Citation:
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PMID: 20717054 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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AIM: To report the long-term efficacy and safety of same site revision trabeculectomy with mitomycin application via a posterior approach. METHODS: A noncomparative retrospective case series of consecutive revision trabeculectomies performed for inadequate bleb function between March 2003 and March 2007 by a single surgeon. Surgery involved a posterior/fornix incision with opening of the scleral flap posteriorly at the same site as previous surgery and application of 0.2 to 0.4 mg/mL mitomycin. RESULTS: Fifty-seven eyes were followed for an average of 33±15 months. Mean baseline intraocular pressure (IOP) reduced from 21.5±6.5 to 11.2±4.4 and 8±3.6 mm Hg at 1 and 5 years, respectively (P<0.001). On Kaplan-Meier survival analysis the probability of maintaining IOP ≤15 mm Hg without medication at the end of 1 year was 95% (n=57) and at 3 (n=36) and 5 years (n=7) was 84%. Eighty-five percent of patients were on no antiglaucoma drops at last follow-up. Four cases required a second procedure (7%), transient choroidal effusions occurred in 4 eyes (7%), corneal decompensation in 1 eye (1.7%), and ptosis in 1 (1.7%). CONCLUSIONS: Posterior approach to surgical revision of failed filtration surgery is an effective procedure with good long-term control of IOP. |
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Authors:
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Michael A Coote; Viney Gupta; Sushil Vasudevan; Jonathan G Crowston |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of glaucoma Volume: 20 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
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Languages: eng Pagination: 377-82 Citation Subset: IM |
Affiliation:
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*Centre for Eye Research Australia, University of Melbourne †Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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