Journal of Cataract & Refractive Surgery
Volume 32, Issue 6 , Pages 918-922 , June 2006

Rescue of failed filtering blebs with ab interno trephination

  • Wisam A. Shihadeh, MD
    • ,
  • Robert Ritch, MD

      Affiliations

    • Corresponding Author InformationReprint requests to Robert Ritch, MD, Professor and Chief, Glaucoma Service, Department of Ophthalmology, The New York Eye and Ear Infirmary, 310 East 14th Street, New York, New York 10003, USA.
    • ,
  • Jeffrey M. Liebmann, MD

,Accepted 8 November 2005.

References 

  1. Skuta GL, Parrish RK. Wound healing in glaucoma filtering surgery. Surv Ophthalmol. 1987;32:149–170
  2. Liebmann JM, Ritch R. 5-fluorouracil in glaucoma filtration surgery. Ophthalmol Clin North Am. 1988;1:125–131
  3. Palmer SS. Mitomycin as adjunct chemotherapy with trabeculectomy. Ophthalmology. 1991;98:317–321
  4. Katz GJ, Higginbotham EJ, Lichter PR, et al. Mitomycin C versus 5-fluorouracil in high-risk glaucoma filtering surgery; extended follow-up. Ophthalmology. 1995;102:1263–1269
  5. Mermoud A, Salmon JF, Murray ADN. Trabeculectomy with mitomycin-C for refractory glaucoma in blacks. Am J Ophthalmol. 1993;116:72–78
  6. Kitazawa Y, Kawase K, Matsushita H, Minobe M. Trabeculectomy with mitomycin; a comparative study with fluorouracil. Arch Ophthalmol. 1991;109:1693–1698
  7. Chen CW. Enhanced intraocular pressure controlling effectiveness of trabeculectomy by local application of mitomycin-C. Trans Asia-Pacific Acad Ophthalmol. 1983;9:172–177
  8. Heuer DK, Parrish RK, Gressel MG, et al. 5-fluorouracil and glaucoma filtering surgery. II. A pilot study. Ophthalmology. 1984;91:384–393discussion, 393–394
  9. Rockwood EJ, Parrish RK, Heuer DK, et al. Glaucoma filtering surgery with 5-fluorouracil. Ophthalmology. 1987;94:1071–1078
  10. Chen C-W, Huang H-T, Bair J-S, Lee C-C. Trabeculectomy with simultaneous topical application of mitomycin-C in refractory glaucoma. J Ocul Pharmacol. 1990;6:175–182
  11. Liebmann JM, Ritch R, Marmor M, et al. Initial 5-fluorouracil trabeculectomy in uncomplicated glaucoma. Ophthalmology. 1991;98:1036–1041
  12. Skuta GL, Beeson CC, Higginbotham EJ, et al. Intraoperative mitomycin versus postoperative 5-fluorouracil in high-risk glaucoma filtering surgery. Ophthalmology. 1992;99:438–444
  13. Pederson JE, Smith SG. Surgical management of encapsulated filtering blebs. Ophthalmology. 1985;92:955–958discussion, 958
  14. Ben-Simon GJ, Glovinsky Y. Needle revision of failed filtering blebs augmented with subconjunctival injection of mitomycin C. Ophthalmic Surg Lasers Imaging. 2003;34:94–99
  15. Iwach AG, Delgado MF, Novack GD, et al. Transconjunctival mitomycin-C in needle revisions of failing filtering blebs. Ophthalmology. 2003;110:734–742
  16. Mardelli PG, Lederer CM, Murray PL, et al. Slit-lamp needle revision of failed filtering blebs using mitomycin C. Ophthalmology. 1996;103:1946–1955discussion, 1955
  17. Ewing RH, Stamper RL. Needle revision with and without 5-fluorouracil for the treatment of failed filtering blebs. Am J Ophthalmol. 1990;110:254–259
  18. Shin DH, Juzych MS, Khatana AK, et al. Needling revision of failed filtering blebs with adjunctive 5-fluorouracil. Ophthalmic Surg. 1993;24:242–248
  19. Broadway DC, Bloom PA, Bunce C, et al. Needle revision of failing and failed trabeculectomy blebs with adjunctive 5-fluorouracil; survival analysis. Ophthalmology. 2004;111:665–673
  20. Ophir A, Wasserman D. 5-fluorouracil-needling and paracentesis through the failing filtering bleb. Ophthalmic Surg Lasers. 2002;33:109–116
  21. Ophir A, Porges Y. Needling with intra-bleb 5-fluorouracil for intractable neovascular glaucoma. Ophthalmic Surg Lasers. 2000;31:38–42
  22. Durak I, Ozbek Z, Yaman A, et al. The role of needle revision and 5-fluorouracil application over the filtration site in the management of bleb failure after trabeculectomy: a prospective study. Doc Ophthalmol. 2003;106:189–193
  23. Hodge W, Saheb N, Balazsi G, Kasner O. Treatment of encapsulated blebs with 30-gauge needling and injection of low-dose 5-fluorouracil. Can J Ophthalmol. 1992;27:233–236
  24. Brown RM, Denham DB, Bruner WE, et al. Internal sclerectomy for glaucoma filtering surgery with an automated trephine. Arch Ophthalmol. 1987;105:133–136
  25. Brown RH, Lynch MG, Denham DB, et al. Internal sclerectomy with an automated trephine for advanced glaucoma. Ophthalmology. 1988;95:728–734
  26. Peiffer RL, Nobles RD, Carter J, et al. Internal sclerostomy with a mechanical trephine versus neodymium:YAG laser in dogs. Ophthalmic Surg Lasers. 1997;28:223–230
  27. Kurata F, Krupin T, Kolker AE. Reopening filtration fistulas with transconjunctival argon laser photocoagulation. Am J Ophthalmol. 1984;98:340–343
  28. Latina MA, Rankin GA. Internal and transconjunctival neodymium:YAG laser revision of late failing filters. Ophthalmology. 1991;98:215–221
  29. Budenz DL, Brown SVL, Thomas JV, et al. Laser therapy for internally failing glaucoma filtration surgery. Ophthalmic Laser Ther. 1985-86;1:169–176
  30. Ticho U, Ivry M. Reopening of occluded filtering blebs by argon laser photocoagulation. Am J Ophthalmol. 1977;84:413–418
  31. Van Buskirk EM. Reopening filtration fistulas with the argon laser. Am J Ophthalmol. 1982;94:1–3
  32. Cohn HC, Whalen WR, Aron-Rosa D. YAG laser treatment in a series of failed trabeculectomies. Am J Ophthalmol. 1989;108:395–403
  33. Praeger DL. The reopening of closed filtering blebs using the neodymium:YAG laser. Ophthalmology. 1984;91:373–377discussion, 377
  34. Dailey RA, Samples JR, Van Buskirk EM. Reopening filtration fistulas with neodymium-YAG laser. Am J Ophthalmol. 1986;102:491–495

 Supported in part by the Joseph and Geraldine LaMotta Research Fund of the New York Glaucoma Research Institute, New York, New York, USA.Presented in part at the annual meeting of the Association for Research in Vision and Ophthalmology, Fort Lauderdale, Florida, USA, April 2004.No author has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(06)00235-5

doi: 10.1016/j.jcrs.2006.02.045

Journal of Cataract & Refractive Surgery
Volume 32, Issue 6 , Pages 918-922 , June 2006

Article Tools

* Image Usage & Resolution