NEEDLING BLEB REVISION WITH MITOMYCIN-C IN FAILED TRABECULECTOMY WITH ENCAPSULATED BLEB

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ZAREE R.; SHAHHOSSEINI S.; AMINI HEYDAR

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Paper Information

Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2002 | Volume:15 | Issue:2 Page(s): 106-109

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Title

NEEDLING BLEB REVISION WITH MITOMYCIN-C IN FAILED TRABECULECTOMY WITH ENCAPSULATED BLEB

Author(s)

ZAREE R. | SHAHHOSSEINI S. | AMINI HEYDAR | Issue Writer Certificate

Keywords

NEEDLING BLEB REVISIONQ4

MITOMYCIN-CQ4

ENCAPSULATED BLEBQ4

TENON'S CYSTQ4

Abstract

Purpose: The most common cause of failure during the first trimester after trabeculectomy is bleb encapsulation and NEEDLING BLEB REVISION is a less invasive method in the management of refractory cases. The purpose of this study is to determine the efficacy and safety of MITOMYCIN-C (MMC) augmented bleb revision in failed filtration surgery.Methods: This study is a before-after (paired) observation. Thirty-three patients with failed trabeculectomy because of bleb encapsulation, whose IOP (IntraOcular Pressure) was not reduced under 21 mmHg despite use of medications and digital massage for about two weeks, underwent NEEDLING BLEB REVISION and subconjunctival injection of 0.01 ml MMC (0.4 mg/ml). Statistical analysis of the data included paired two-tailed Student's t test for preoperative and postoperative IOP and number of medications.Results: 36 needling procedures (mean, 1.09± 0.21 revisions per eye) were performed on 33 eyes. Patients were 10-80 years old (mean, 45.67±22.41 years) and mean follow-up was 9.24± 5.27 months. IOP decreased from 29.06± 5.03 mmHg to 18.21±6.76 mmHg at the last follow-up (p=0.000). Antiglaucoma medications decreased from 2.18±0.58 to 1.36±0.29at the last follow-up (p=0.000).Overall,6 (18.2%) of 33 cases achieved a complete success and 20 (60.6%) cases achieved qualified success. The complications of this procedure were subconjunctival hemorrhage (17 cases), hyphema (5 cases) and conjunctival button hole (2 cases).Conclusion: NEEDLING BLEB REVISION with MITOMYCIN-C appears to be an effective and relatively safe way to revive failed filtration surgery.

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APA: Copy

ZAREE, R., SHAHHOSSEINI, S., & AMINI, HEYDAR. (2002). NEEDLING BLEB REVISION WITH MITOMYCIN-C IN FAILED TRABECULECTOMY WITH ENCAPSULATED BLEB. JOURNAL OF CURRENT OPHTHALMOLOGY, 15(2), 106-109. SID. https://sid.ir/paper/53198/en

Vancouver: Copy

ZAREE R., SHAHHOSSEINI S., AMINI HEYDAR. NEEDLING BLEB REVISION WITH MITOMYCIN-C IN FAILED TRABECULECTOMY WITH ENCAPSULATED BLEB. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2002;15(2):106-109. Available from: https://sid.ir/paper/53198/en

IEEE: Copy

R. ZAREE, S. SHAHHOSSEINI, and HEYDAR AMINI, “NEEDLING BLEB REVISION WITH MITOMYCIN-C IN FAILED TRABECULECTOMY WITH ENCAPSULATED BLEB,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 15, no. 2, pp. 106–109, 2002, [Online]. Available: https://sid.ir/paper/53198/en

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