Surgical Outcomes of a Small Incision Limbus-Based Revision for Failed Trabeculectomies  

作　　者：Marcus Suehiro Fabio Luis de Arruda Zantut Flavio Siqueira Lopes Michele Ushida Barbosa Syryl Dorairaj Tiago Santos Prata Marcus Suehiro;Fabio Luis de Arruda Zantut;Flavio Siqueira Lopes;Michele Ushida Barbosa;Syryl Dorairaj;Tiago Santos Prata(Paulista School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil)

机构地区：[1]Paulista School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil

出　　处：《Open Journal of Ophthalmology》2022年第1期121-127,共7页眼科学期刊（英文）

摘　　要：Background: Trabeculectomy does not always work as long as necessary to control glaucoma. This study aimed to describe the initial outcomes of a surgical technique for restoring failed trabeculectomies. Methods: We reviewed patients with failed trabeculectomy with mitomycin (MMC) who underwent limbus-based revision. After the dissection of the subconjunctival area through a smaller incision (3 mm), MMC was applied and episcleral fibrosis was excised. Each criterion was classified as complete or qualified for glaucoma medication. Results: Nineteen patients (19 eyes) were included in this study. The mean follow-up was 9.4 ± 8.6 months. At the last follow-up visit, the mean intraocular pressure was reduced from 20.9 ± 8.4 (range, 12 - 44 mmHg) to 11.6 ± 3.6 mm Hg (range, 6 - 19 mmHg) (p Conclusions: Our initial results suggest that limbus-based revision is an effective alternative to restoring failed trabeculectomies with minor postoperative complications.Background: Trabeculectomy does not always work as long as necessary to control glaucoma. This study aimed to describe the initial outcomes of a surgical technique for restoring failed trabeculectomies. Methods: We reviewed patients with failed trabeculectomy with mitomycin (MMC) who underwent limbus-based revision. After the dissection of the subconjunctival area through a smaller incision (3 mm), MMC was applied and episcleral fibrosis was excised. Each criterion was classified as complete or qualified for glaucoma medication. Results: Nineteen patients (19 eyes) were included in this study. The mean follow-up was 9.4 ± 8.6 months. At the last follow-up visit, the mean intraocular pressure was reduced from 20.9 ± 8.4 (range, 12 - 44 mmHg) to 11.6 ± 3.6 mm Hg (range, 6 - 19 mmHg) (p Conclusions: Our initial results suggest that limbus-based revision is an effective alternative to restoring failed trabeculectomies with minor postoperative complications.

关 键 词：Glaucoma Surgery TRABECULECTOMY REVISION MITOMYCIN 

分 类 号：R73[医药卫生—肿瘤]