Avascular overhanging bleb reduction with modified sutureless technique
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- dc.contributor.author Pazos López, Marta
- dc.contributor.author Martínez-Palmer, Ana
- dc.contributor.author Poposki, Vladimir
- dc.date.accessioned 2025-02-13T12:46:45Z
- dc.date.available 2025-02-13T12:46:45Z
- dc.date.issued 2023
- dc.description.abstract A late postoperative trabeculectomy complication could be the overhanging bleb, especially when antimetabolites are used. It can be associated with hypotony, foreign body sensation, dellen, and visual compromise. We report a case of an avascular overhanging bleb successfully reduced with a modified sutureless technique. Nine years before, our patient had trabeculectomy using mitomycin C. After the surgery, the intraocular pressure was correct, without progression in the visual field, but on slit-lamp examination, a large avascular overhanging bleb was noted. Partial excision was performed with dissection from the cornea, overhanging conjunctival trimming, leakage checking and Bandage Contact lens placement. Topical antibiotic and steroid treatment was administered for three weeks. The excised conjunctival histopathology showed avascular metaplastic epithelium. Six months after the surgery, the patient's visual acuity improved, with intraocular pressure of 12 mm Hg and a Seidel negative asymptomatic bleb. In conclusion, this less invasive technique preserves better bleb function without ripping the surrounding ischemic tissue. The procedure is safe and easy to perform, with less surgical time and fast recovery.
- dc.format.mimetype application/pdf
- dc.identifier.citation Pazos M, Martínez-Palmer A, Poposki V. Avascular overhanging bleb reduction with modified sutureless technique. Acta Clin Croat. 2023 Aug;62(2):378-81. DOI: 10.20471/acc.2023.62.02.18
- dc.identifier.doi http://dx.doi.org/10.20471/acc.2023.62.02.18
- dc.identifier.issn 0353-9466
- dc.identifier.uri http://hdl.handle.net/10230/69604
- dc.language.iso eng
- dc.publisher Klinički bolnički centar Sestre milosrdnice
- dc.relation.ispartof Acta Clin Croat. 2023 Aug;62(2):378-81
- dc.rights This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0
- dc.subject.keyword Modified sutureless technique
- dc.subject.keyword Overhanging bleb
- dc.subject.keyword Avascular
- dc.subject.keyword Trabeculectomy
- dc.title Avascular overhanging bleb reduction with modified sutureless technique
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion