Management of encapsulated blebs after filtering surgery

The IOPs before and postoperative 1. week, 1., 3., and 6.months were respectively 26,5±8,6 mmHg, 11,9±2,6 (5-18) mmHg, 14,5±3,8 (11-20) mmHg, 15,2±5,6 (8-20) mmHg ve 14,8±1,4 (8-28) mmHg (p

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Objective & Hypothesis:Purpose: To evaluate the results of the bleb needling of encapsulated blebs with 1% Mitomycine-C, after trabeculectomy surgery Material and Methods: 98 eyes of 90 glaucoma patients who underwent trabeculectomy were evaluated retrospectively between July 2009-September 2011.

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Key Findings & Data:Twenty-five eyes of 24 patients who developed encapsulated bleb with at least 3 months follows enrolled the study.

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Conclusion & Impact:The IOPs before and postoperative 1. week, 1., 3., and 6.months were respectively 26,5±8,6 mmHg, 11,9±2,6 (5-18) mmHg, 14,5±3,8 (11-20) mmHg, 15,2±5,6 (8-20) mmHg ve 14,8±1,4 (8-28) mmHg (p

🔬Design:Research Article

📍Scope:2009 Verileri

⚙️Variables:Domain Parameters

Abstract

Purpose: To evaluate the results of the bleb needling of encapsulated blebs with 1% Mitomycine-C, after trabeculectomy surgery Material and Methods: 98 eyes of 90 glaucoma patients who underwent trabeculectomy were evaluated retrospectively between July 2009-September 2011. Twenty-five eyes of 24 patients who developed encapsulated bleb with at least 3 months follows enrolled the study. These patients had undergone bleb needling with 1% Mitomycine-C (16 eyes) since medications were not efficient for IOP control. The pre- and post-needling intraocular pressures (IOP) has compared with the ones who had controlled with antiglaucoma medications (9 eyes). Results: Encapsulated bleb was seen 25 (25,6%) eyes of 24 patients out of 98 eyes of 90 patients who had trabeculectomy.The mean age was 62,6±13,6 (23-83) years and the mean follow-up time was 5,7±4,4 (3-20) months. The mean time that encapsulated blebs were diagnosed 4,1±1,5 (2,5-8) weeks after the trabeculectomy. The number of the eyes who had controlled IOP just with medication was 9 (36%) eyes with 5,7±4,0 (3-14) months mean follow-up time. Mtm-C 1% bleb needling was performed to 16 eyes (64%) at mean 9.1±3.2 (3-15) weeks after trabeculectomy who haven’t had success with medical treatment. The IOPs before and postoperative 1. week, 1., 3., and 6.months were respectively 26,5±8,6 mmHg, 11,9±2,6 (5-18) mmHg, 14,5±3,8 (11-20) mmHg, 15,2±5,6 (8-20) mmHg ve 14,8±1,4 (8-28) mmHg (p

Özet

Amaç: Trabekülektomi cerrahisi sonrası gelişen enkapsüle bleb (EB)’lerde Mitomisin-C (MMC) uygulanarak yapılan bleb iğneleme tekniğinin sonuçlarının değerlendirilmesi. Gereç ve Yöntem: Temmuz 2009-Eylül 2011 tarihleri arasında trabekülektomi operasyonu uygulanmış olan 90 hastanın 98 gözü geriye dönük incelendi. En az 3 ay takibi olan ve EB geliştiği tespit edilen 24 hastanın 25 gözü çalışma kapsamına alındı. Medikal tedavi ile GİB kontrolü sağlanan (9 göz) ve medikal tedaviye rağmen göz içi basınç (GİB) kontrolü sağlanamayan %1’lik MMC ile iğneleme yapılan (16 göz) hastaların tedavi öncesi ve sonrası GİB değerleri karşılaştırıldı. Sonuçlar: Trabekülektomi sonrası değerlendirilen 90 hastanın 98 gözünden, 24 hastanın 25 (%25,6) gözünde enkapsüle bleb saptandı. Ortalama yaş 62,6±13,6 (23-83), ortalama takip süresi 5,7±4,4 (3-20) ay idi. Hastalarda EB varlığı, trabekülektomi sonrası ortalama 4,1±1,5 (2,5-8) haftada tespit edildi. Yalnız medikal tedavi ile GİB kontrol altına alınan hasta sayısı 9 (%36) ve ortalama takip süresi 5,7±4,0 (3-14) ay idi. Medikal tedavi ile başarı elde edilemeyen 16 (% 64) göze MMC’li bleb iğneleme, trabekülektomi sonrası ortalama 9.1±3.2 (3-15) haftada yapıldı. İğneleme öncesi ve sonrası 1. hafta, 1. ay, 3. ay ve 6. ay ortalama GİB’ları sırasıyla 26,5±8,6 mmHg, 11,9±2,6 (5-18) mmHg, 14,5±3,8 (11-20) mmHg, 15,2±5,6 (8-20) mmHg ve 14,8±1,4 (8-28) mmHg idi (p

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Cite This Article

DEMİROK, A., ŞATANA, B., ALTAN, Ç., BOZKURT, E., BAZ, Ö., BAŞARIR, B., PAŞAOĞLU, I. (2022). Management of encapsulated blebs after filtering surgery. Türk Oftalmoloji Dergisi, Cilt: 43 - Sayı: 3, 173–177. https://ajindex.com/articles/638164

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