| Surgical reduction of dysesthetic blebs. | |
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MedLine Citation:
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PMID: 19064861 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Dysesthetic blebs can complicate filtration surgery. Lubrication often reduces symptoms; however, some cases require surgical intervention. Limited conjunctivoplasty reduces the symptoms of dysesthetic blebs without sacrificing control of intraocular pressure (IOP). However, this may not sufficiently lower these blebs, particularly if the bleb is thick and dense. We describe a modified conjunctivoplasty technique that includes removal of subconjunctival scar tissue within the interpalpebral fissure and provide a 1-year follow-up of 13 eyes treated in this manner. All patients reported rapid, complete symptom resolution. The IOP was controlled in all 13 eyes following conjunctivoplasty; 3 required topical antiglaucoma therapy. Subconjunctival scar tissue may contribute to the formation of dysesthetic blebs owing to its thickness and by encouraging local dissection of aqueous humor. Our report demonstrates that removal of this tissue does not compromise IOP control when performed with conjunctivoplasty. |
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Authors:
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Michael Lloyd; Matthew Giegengack; John C Morrison |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of ophthalmology Volume: 126 ISSN: 1538-3601 ISO Abbreviation: Arch. Ophthalmol. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-09 Completed Date: 2008-12-22 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 7706534 Medline TA: Arch Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 1759-64 Citation Subset: AIM; IM |
Affiliation:
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Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Alkylating Agents / therapeutic use* Combined Modality Therapy Conjunctiva / drug effects, surgery* Female Glaucoma, Open-Angle / surgery* Humans Intraocular Pressure Lens Implantation, Intraocular Male Middle Aged Mitomycin / therapeutic use* Paresthesia / drug therapy, surgery* Phacoemulsification Retrospective Studies Trabeculectomy / methods* Visual Acuity |
| Grant Support | |
ID/Acronym/Agency:
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R01 EY010145-13/EY/NEI NIH HHS; R01 EY10145/EY/NEI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Alkylating Agents; 50-07-7/Mitomycin |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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