Intraoperative Optical Coherence Tomography Guided Bleb Needling

Two patients with history of trabeculectomy presented with uncontrolled intraocular pressure (IOP) postoperatively. The first patient had a flat and vasularized bleb 10 weeks after the surgery, and the second subject developed encapsulated bleb 3 months postoperatively. Both patients were taken to t...

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Detalles Bibliográficos
Autores principales: Dada, Tanuj, Angmo, Dewang, Midha, Neha, Sidhu, Talvir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139562/
https://www.ncbi.nlm.nih.gov/pubmed/27994819
http://dx.doi.org/10.4103/2008-322X.194150
Descripción
Sumario:Two patients with history of trabeculectomy presented with uncontrolled intraocular pressure (IOP) postoperatively. The first patient had a flat and vasularized bleb 10 weeks after the surgery, and the second subject developed encapsulated bleb 3 months postoperatively. Both patients were taken to the operating room and intraoperative optical coherence tomography (OCT) guided bleb needling was performed to restore aqueous egress into the subconjunctival space. Postoperatively, IOP of the operated eyes ranged 14-18 mmHg at week 6 and month 3. None of the eyes had any intraoperative or postoperative complications. This novel application of the intraoperative OCT for bleb needling facilitates precision surgery under direct visualization and reduces the risk of complications.

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