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: 01-06-2019

Copyright Statement:  Copyright © 2012; The Author(s).


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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  1. Coote MA, Gupta V, Vasudevan S, Crowston JG. Posterior revision for failed blebs: Long-term outcomes. J Glaucoma 2011 Aug;20(6):377-82.
  2. Lee GA, Holcombe DJ. Surgical revision of dysfunctional filtration blebs with bleb preservation, sliding conjunctival flap and fibrin glue. Eye (Lond). 2010 Jun;24(6):947-53.
  3. Gardiner BS, Smith DW, Coote M, Crowston JG. Computational modeling of fluid flow and intra-ocular pressure following glaucoma surgery. PLoS ONE 2010;5(10):e13178.
  4. Radhakrishnan S, Quigley HA, Jampel HD, Friedman DS, Ahmad SI, Congdon NG, McKinnon S. Outcomes of surgical bleb revision for complications of trabeculectomy. Ophthalmology. 2009 Sep;116(9):1713-18.
  5. Anand N, Khan A. Long-term outcomes of needle revision of trabeculectomy blebs with mitomycin C and 5-fluorouracil: A comparative safety and efficacy report. J Glaucoma 2009 Sep;18(7):513-20.
  6. Anand N, Arora S. Surgical revision of failed filtration surgery with mitomycin C augmentation. J Glaucoma 2007 Aug;16(5):456-61.
  7. van de Geijn EJ, Lemij HG, de Vries J, de Waard PW. Surgical revision of filtration blebs: A follow-up study. J Glaucoma 2002 Aug;11(4):300-05.
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