A Serious Complication of Intrableb Injection of Autologous Blood for the Treatment of Postfiltration Hypotony

Zaltas, Mandi M.; Schuman, Joel S.

doi:10.1016/s0002-9394(14)72908-3

Cited by 16 publications

(7 citation statements)

References 1 publication

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“…Many earlier reports have demonstrated the advantages and disadvantages of using autologous blood injection to treat overfiltering or leaking blebs after glaucoma surgery [28–33]. Thus, the sutureless nature of 25GMIVS, which prevents intraoperative subconjunctival hemorrhage from flowing into preexisting bleb, could be a great benefit for the treatment of vitreoretinal disease in eyes with preexisting TLE.…”

Section: Discussionmentioning

confidence: 99%

25-Gauge Microincision Vitrectomy to Treat Vitreoretinal Disease in Glaucomatous Eyes after Trabeculectomy

Kunikata

Aizawa

Fuse

et al. 2014

Journal of Ophthalmology

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Purpose. To determine the feasibility of using 25-gauge microincision vitrectomy surgery (25GMIVS) to treat vitreoretinal disease in glaucomatous eyes which have previously undergone trabeculectomy (TLE). Methods. A consecutive, interventional case series. We performed 25GMIVS in 15 glaucomatous eyes that had undergone TLE. Follow-up period was 11.5 months. Results. 25GMIVS was successfully used and led to improvement in visual acuity (P < 0.01). We performed 25GMIVS for proliferative diabetic retinopathy with neovascular glaucoma in 53% of eyes (8 of 15). Although 3 eyes needed further TLE following 25GMIVS, final IOP was below 21 mmHg in all eyes except one eye (93%) and was comparable to pre-25GMIVS IOP (P = 0.20) without an increase in the number of glaucoma medications (P = 0.14). Conclusions. 25GMIVS is a feasible treatment for vitreoretinal disease in eyes with preexisting TLE, effective in both significantly improving BCVA and preserving the filtering bleb, while not excluding further glaucoma surgery.

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Section: Discussionmentioning

confidence: 99%

25-Gauge Microincision Vitrectomy to Treat Vitreoretinal Disease in Glaucomatous Eyes after Trabeculectomy

Kunikata

Aizawa

Fuse

et al. 2014

Journal of Ophthalmology

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“…In cases in which aqueous drainage is still excessive, it is extremely difficult to re-form the anterior chamber. To improve on this, autologous blood injection, which recently was introduced [7,8], is useful, but decreased visual acuity, cosmetic complications, and marked intraocular pressure increases [9,10] sometimes oc cur. To prevent excessive drainage, if the suture is too tight, laser suturelysis [11] must be performed.…”

Section: Resultsmentioning

confidence: 99%

Trabeculectomy with a Kelly Descemet Membrane Punch

Suzuki

1997

Ophthalmologica

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The trabeculectomy procedure was modified with the introduction of the Kelly Descemet membrane punch. Using this punch, a few limbal tissue sections (0.25 ×0.30 mm) were easily excised from beneath the scleral flap base. Mitomycin C (MMC) was used. Among the 100 most recent operations in which this punch was used, no patients developed severe shallow anterior chambers over ten days. Because MMC is so effective and active for a long period, small excision surgery using this punch should be reconsidered.

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“…Chemical irritants such as silver nitrate 12 or trichloroacetic acid 13 and autologous blood injections 14 have not become popular owing to the high frequency of complications. 15,16 Cryotherapy 17 has been published in small case series in the literature. Argon, 11,18 yttrium aluminum garnet holmium, 19 yttrium aluminum garnet neodymium, 20,21 and, more recently, krypton green 22 laser treatments have also been reported as useful treatments in selected cases.…”

Section: Discussionmentioning

confidence: 99%