Document Detail


Surgical reduction of dysesthetic blebs.
MedLine Citation:
PMID:  19064861     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Michael Lloyd; Matthew Giegengack; John C Morrison
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of ophthalmology     Volume:  126     ISSN:  1538-3601     ISO Abbreviation:  Arch. Ophthalmol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2008-12-22     Revised Date:  2014-09-15    
Medline Journal Info:
Nlm Unique ID:  7706534     Medline TA:  Arch Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1759-64     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
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:
R01 EY010145/EY/NEI NIH HHS; R01 EY010145-13/EY/NEI NIH HHS; R01 EY10145/EY/NEI NIH HHS
Chemical
Reg. No./Substance:
0/Alkylating Agents; 50SG953SK6/Mitomycin
Comments/Corrections

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