| The Usefulness of External Bandage Suture for Management of Bleb after Trabeculectomy with Mitomycin C. |
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Sung Ju Lee, Je Moon Woo, Sang Woo Kim, Jae Hwan An, Jin Ho Yim |
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Department of Ophthalmology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea. yimjinho@hanmail.net |
| 마이토마이신을 사용한 섬유주절제술 후 여과포 관리에 대한 석상 봉합의 유용성 |
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이승주⋅우제문⋅김상우⋅안재환⋅임진호 |
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Department of Ophthalmology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea |
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| Abstract |
PURPOSE
To evaluate the usefulness of external bandage suture for bleb-related management that follows trabeculectomy with mitomycin C. METHODS: External bandage sutures were performed on 10 patients having hypotony maculopathy, persistent low intraocular pressure (IOP) caused by either hyperfiltration or focal leakage, or a persisting large bleb caused by hyperfiltration and who received trabeculectomy using mitomycin C as an adjuvant treatment. The changes in IOP measured before and 4 weeks after the procedure along with complication incidences were evaluated. RESULTS: The mean IOP 4 weeks after the procedure compared with the mean IOP prior to the procedure increased from 5.8 +/- 2.0 mm Hg (3.0-9.0 mm Hg) to 14.1 +/- 8.5 mm Hg (4.0-32.0 mm Hg), with statistical significance (p = 0.008). After the procedure, improvement in visual acuity was observed but without statistical significance. One patient had persistent focal leakage from an avascular bleb and conjunctival advancement with removal of the avascular conjunctiva was performed. CONCLUSIONS: An external bandage suture can be a good alternative for correction of post-trabeculectomy hypotony and severe chemosis with minimal effect on blebs while correcting focal leakage and hyperfiltration. |
| Key Words:
External bandage suture;Hyperfiltration;Hypotony;Leakage;Trabeculectomy |
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