Journal of Current Glaucoma Practice

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VOLUME 6 , ISSUE 3 ( September-December, 2012 ) > List of Articles

Surgical Technique

Revision Trabeculectomy: Pearls and Pitfalls

Michael Coote, Jonathan Crowston

Keywords : Bleb revision, Bleb failure, Trabeculectomy, Glaucoma surgery, Revision trabeculectomy

Citation Information : Coote M, Crowston J. Revision Trabeculectomy: Pearls and Pitfalls. J Curr Glaucoma Pract 2012; 6 (3):131-138.

DOI: 10.5005/jp-journals-10008-1120

License: CC BY-NC 4.0

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Revision trabeculectomy is used to describe any surgical intervention subsequent to an existing trabeculectomy. Mostly, it is used to describe resurgery for failure of trabeculectomy, as defined by inadequate pressure control. Revision may also be performed for unsafe, uncomfortable or leaking blebs. Mostly bleb failure occurs within the subconjunctival space, although the flap and ostium may be involved or causative. Clear surgical principles, meticulous surgical technique and scrupulous postoperative care are key to successful revision surgery. This review is an attempt to elucidate the technique of bleb revision for bleb failure.


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