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Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy

PURPOSE: To report corneal lamellar grafting to repair the late-onset complications after MMC trabeculectomy. METHODS: Multiple case reports. RESULTS: A 76-year-old male with primary open-angle glaucoma (POAG) and a 55-year-old male with late developmental glaucoma complicated by bleb leaks from a m...

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Autores principales: Fukuchi, Takeo, Matsuda, Hidenobu, Ueda, Jun, Yamada, Akiko, Suda, Kieko, Abe, Haruki
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861923/
https://www.ncbi.nlm.nih.gov/pubmed/20463784
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author Fukuchi, Takeo
Matsuda, Hidenobu
Ueda, Jun
Yamada, Akiko
Suda, Kieko
Abe, Haruki
author_facet Fukuchi, Takeo
Matsuda, Hidenobu
Ueda, Jun
Yamada, Akiko
Suda, Kieko
Abe, Haruki
author_sort Fukuchi, Takeo
collection PubMed
description PURPOSE: To report corneal lamellar grafting to repair the late-onset complications after MMC trabeculectomy. METHODS: Multiple case reports. RESULTS: A 76-year-old male with primary open-angle glaucoma (POAG) and a 55-year-old male with late developmental glaucoma complicated by bleb leaks from a microhole 10 and eight years after surgery, respectively. Severe ciliochoroidal detachment and a shallow anterior chamber were persistent in one case and bleb-related infection recurred in another. Additionally, a 46-year-old male with POAG had hypotony maculopathy with a giant ischemic bleb 18 months after surgery. Although these patients were quite resistant to medical and surgical treatments, they were successfully treated by corneal lamellar grafting without complications. CONCLUSIONS: Tectonic corneal lamellar grafting is a reliable and final surgical method to improve severe cases of hypotony maculopathy or bleb leak after mitomycin C trabeculectomy.
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spelling pubmed-28619232010-05-12 Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy Fukuchi, Takeo Matsuda, Hidenobu Ueda, Jun Yamada, Akiko Suda, Kieko Abe, Haruki Clin Ophthalmol Case Report PURPOSE: To report corneal lamellar grafting to repair the late-onset complications after MMC trabeculectomy. METHODS: Multiple case reports. RESULTS: A 76-year-old male with primary open-angle glaucoma (POAG) and a 55-year-old male with late developmental glaucoma complicated by bleb leaks from a microhole 10 and eight years after surgery, respectively. Severe ciliochoroidal detachment and a shallow anterior chamber were persistent in one case and bleb-related infection recurred in another. Additionally, a 46-year-old male with POAG had hypotony maculopathy with a giant ischemic bleb 18 months after surgery. Although these patients were quite resistant to medical and surgical treatments, they were successfully treated by corneal lamellar grafting without complications. CONCLUSIONS: Tectonic corneal lamellar grafting is a reliable and final surgical method to improve severe cases of hypotony maculopathy or bleb leak after mitomycin C trabeculectomy. Dove Medical Press 2010 2010-04-26 /pmc/articles/PMC2861923/ /pubmed/20463784 Text en © 2010 Fukuchi et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Fukuchi, Takeo
Matsuda, Hidenobu
Ueda, Jun
Yamada, Akiko
Suda, Kieko
Abe, Haruki
Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title_full Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title_fullStr Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title_full_unstemmed Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title_short Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy
title_sort corneal lamellar grafting to repair late complications of mitomycin c trabeculectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861923/
https://www.ncbi.nlm.nih.gov/pubmed/20463784
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