Use of Gore-Tex in Bleb Revision after Trabeculectomy with Mitomycin. |
In Young Chung, Ji Hong Bae, Ji Myong Yoo |
Department of Ophthalmology, College of Medicine, Gyeongsang National University. |
마이토 마이신 섬유주 절제술 후 Gore-Tex를 이용한 여과포 재박리술 |
정인영(In Young Chung),배지홍(Ji Hong Bae),유지명(Ji Myong Yoo) |
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Abstract |
Trabeculectomy, as a surgical intervention in the treatment of glaucoma, has become most popular. The most common cause of filtration failure is obstruction of aqueous outflow due to bleb fibrosis. Adjunctive intraoperative mitomycin-C has been reported to improve the success of filtration surgery in eyes of high risk for failure. But its use increases the rate of complications after filtering surgery: especially postoperative hypotony, wound leakage, and scleral necrosis. We have experienced two patients whose scleral flaps were necrotized after trabeculectomy with mitomycin-C in uncomplicated glaucoma. We report successful results in revision of filtering bleb by using Gore-Tex as a patch graft. |
Key Words:
Bleb revision;Gore-Tex;Scleral necrosis |