Needle Revision with Antimetabolites in Bleb Failure
Journal Title: Journal of Clinical Research and Ophthalmology - Year 2015, Vol 2, Issue 1
Abstract
Bleb failure after initially successful glaucoma surgery still constitutes a major challenge in management of glaucoma patients. Needling is considered a simple surgical technique that can solve a major problem like failure of glaucoma surgery. The introduction of antimetabolite in ophthalmology greatly enhances the results of needling as well as the initial trabeculectomy. Mitomycin C(MMC) and 5-Fluorouracil (5FU) used as adjunctive therapy with needling for management of bleb failure with variable success rates but the results with antimetabolites is significantly better than needling alone. In conclusion needling augmented with antimetabolitesis simple technique, relatively safe, fast and has a high success rate, even in complicated glaucoma.
Authors and Affiliations
Ehab Ghoneim
Keywords
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- EP ID EP230573
- DOI 10.17352/2455-1414.000008
- Views 128
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