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Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect

Bleb dysesthesia is a common but under recognized late complication of trabeculectomy, sometimes requiring surgical revision if conservative measures fail. We describe in detail a surgical technique for closure of a large conjunctival defect following bleb excision for refractory dysesthesia. Two su...

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Detalles Bibliográficos
Autores principales: Schultz, Kara L., Vajaranant, Thasarat S., Suhr, Kristin, Wilensky, Jacob T., Tu, Elmer Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3617541/
https://www.ncbi.nlm.nih.gov/pubmed/23580864
http://dx.doi.org/10.4103/0974-9233.106409
Descripción
Sumario:Bleb dysesthesia is a common but under recognized late complication of trabeculectomy, sometimes requiring surgical revision if conservative measures fail. We describe in detail a surgical technique for closure of a large conjunctival defect following bleb excision for refractory dysesthesia. Two subconjunctival 5-fluorouracil injections were given to improve bleb function. Eight months post-operatively, the intraocular pressure is well controlled on two agents, and the patient has had resolution of dysesthesia.