THE BELGIAN OPHTHALMIC ASSOCIATIONS
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This abstract is assigned to session BOG-SBO 6 Glaucoma / Glaucome
| Title | Medium term follow-up of intraocular pressure (IOP) control after needling-revision of failed filtering blebs |
| Abstract Nr. | A2050 |
| Purpose | To investigate the efficacy and safety of needling-revision of failed blebs after trabeculectomy. |
| Methods | A retrospective chart review of 28 eyes of 28 patients who underwent a trabeculectomy with subsequent needling-revision between Jan 2002 and Dec 2003. The mean follow-up was 15 months after the first needling-revision. All interventions were conducted by the same surgeon. Absolute success was defined as an IOP <18 mmHg or as an IOP reduction >20% if the preop IOP was ≤ 21 mmHg without medication. Relative succes was defined as meeting these criteria with or without medication. |
| Results | The mean interval between trabeculectomy and the first needling-revision was 20 weeks. Repeated needling-revision (up to 3 times) was performed as clinically necessary. In 90% of the needling-revisions 5-FU was used to prevent postop fibrosis. The mean IOP before needling-revision and at the last follow-up was respectively 24.7 and 15.7 mmHg (p<0.001) Needling-revision was an absolute success in 39% (11/28) and a relative success in 68% (19/28). Minor complications attributed to needling-revision occurred in 32% including self resorbing subconjunctival bleeding (1), filamental (1) and punctatic keratitis (1), transient choroidal effusion (3), wound leak (4) and hyphaema (2). Progression of cataract occurred in 1 patient. A serious complication occurred in 1 case (hypotony with persistant macular oedema). |
| Conclusion | Bleb needling-revision can prevent more invasive intervention in a significant number of patients with failed trabeculectomy blebs. Complications are similar to those seen after trabeculectomy. |
Author 1
| Last name | JACOBS |
| Initials | S |
| Department | UZ |
| City | Leuven |
Author 2
| Last name | GILLIS |
| Initials | A |
| Department | AZ Middelheim |
| City | Antwerpen |
Author 3
| Last name | VANMALDEREN |
| Initials | L |
| Department | UZ |
| City | Leuven |
Author 4
| Last name | ZEYEN |
| Initials | T |
| Department | UZ |
| City | Leuven |