SIMULTANEOUS SURGICAL AND MEDICAL TREATMENT OF LATE FILTERING BLEB LEAKAGE

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NASIRI N.; VELAEI N.

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Journal: BINA Year:2004 | Volume:9 | Issue:2 (34) Page(s): 159-164

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Information Journal Paper

Title

SIMULTANEOUS SURGICAL AND MEDICAL TREATMENT OF LATE FILTERING BLEB LEAKAGE

Author(s)

NASIRI N. | VELAEI N. | Issue Writer Certificate

Keywords

BLEB REVISIONQ3

CONJUNCTIVA FLAPQ3

FILTERING BLEB LEAKAGEQ3

GLAUCOMAQ3

Abstract

Purpose: To evaluate the effect of simultaneous surgical and medical treatment on cases with late FILTERING BLEB LEAKAGE.Methods: The study was a comparative clinical trial including patients who had late FILTERING BLEB LEAKAGE unresponsive to medical treatment after GLAUCOMA filtering surgery with blurred vision and tearing. They underwent surgical BLEB REVISION by conjunctiva advancement or free antilogous conjunctiva graft in association with nonsurgical therapy including pressure patching and systemic acetazolamide 250 mg/6 hrs for five days. Patients were followed up for at least three months and measures of success were controlled leakage and increase of intraocular pressure to more than 6 mmHg. Complications such as bleb infection, endophthalmitis, etc. were recorded.Results: The study was performed on 12 patients including 7 males and 5 females with a mean age of 51.5±10.7 years, and mean follow up of 9±5.4 months.Postoperatively, leakage ceased perfectly in all patients after a mean duration of 1.7±1 days. Preoperative intraocular pressure was less than 6 mmHg (2.7±2.1 mmHg) in all patients which rised to more than 6 mmHg (17±6.4 mmHg) in all 14 (P<0.0001). Postoperative intraocular pressure was under control without any medication in 8 cases, with 1 drug in 1 patient, and with 2 drugs in 1 patient, but was not controlled in 2 patients even with 3 drugs. Complications such as bleb infection, endophthalmitis, peripheral anterior synechia, cataract, maculopathy, and permanent hypotonia were not seen during the follow up period.Conclusion: It seems that simultaneous surgical and medical therapy of late FILTERING BLEB LEAKAGE is more effective than each alone.

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References

گزارش 7 مورد ماکولوپاتی ناشی از هیپوتونی متعاقب عمل جراحی فیلترینگ و نحوه برخورد با آن در مراجعین به بیمارستان لبافی نژاد طی سالهای 76-1374

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APA: Copy

NASIRI, N., & VELAEI, N.. (2004). SIMULTANEOUS SURGICAL AND MEDICAL TREATMENT OF LATE FILTERING BLEB LEAKAGE. BINA, 9(2 (34)), 159-164. SID. https://sid.ir/paper/359285/en

Vancouver: Copy

NASIRI N., VELAEI N.. SIMULTANEOUS SURGICAL AND MEDICAL TREATMENT OF LATE FILTERING BLEB LEAKAGE. BINA[Internet]. 2004;9(2 (34)):159-164. Available from: https://sid.ir/paper/359285/en

IEEE: Copy

N. NASIRI, and N. VELAEI, “SIMULTANEOUS SURGICAL AND MEDICAL TREATMENT OF LATE FILTERING BLEB LEAKAGE,” BINA, vol. 9, no. 2 (34), pp. 159–164, 2004, [Online]. Available: https://sid.ir/paper/359285/en

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