Use of Gore-Tex in Bleb Revision after Trabeculectomy with Mitomycin.
- Author:
In Young CHUNG
1
;
Ji Hong BAE
;
Ji Myong YOO
Author Information
1. Department of Ophthalmology, College of Medicine, Gyeongsang National University.
- Publication Type:Original Article
- Keywords:
Bleb revision;
Gore-Tex;
Scleral necrosis
- MeSH:
Blister*;
Fibrosis;
Filtering Surgery;
Filtration;
Glaucoma;
Humans;
Mitomycin*;
Necrosis;
Polytetrafluoroethylene*;
Trabeculectomy*;
Transplants;
Wounds and Injuries
- From:Journal of the Korean Ophthalmological Society
1999;40(5):1346-1351
- CountryRepublic of Korea
- Language:Korean
-
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.
